Active NPI
Kyle Tigner, ATC
- Athletic Trainer
- Saint Robert, MO
National Provider Identifier
1285901835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 21083 Harbor LN Unit a
Saint Robert, MO 65584-8400 - Phone
- (231) 750-2873
- NPI assigned
- Nov 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
21083 Harbor LN Unit a
Saint Robert, MO 65584-8400
Mailing address
21083 Harbor LN Unit a
Saint Robert, MO 65584-8400
Other practice location 1
4031 w. shearer rd.
coleman, MI 48618
Phone (231) 750-2873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550102400000",
"number": "1285901835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21083 HARBOR LN UNIT A",
"city": "SAINT ROBERT",
"state": "MO",
"postal_code": "655848400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21083 HARBOR LN UNIT A",
"city": "SAINT ROBERT",
"state": "MO",
"postal_code": "655848400",
"telephone_number": "231-750-2873"
}
],
"practiceLocations": [
{
"address_1": "4031 w. shearer rd.",
"address_purpose": "LOCATION",
"city": "coleman",
"state": "MI",
"postal_code": "48618",
"country_code": "US",
"telephone_number": "231-750-2873",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIGNER",
"first_name": "KYLE",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-28",
"last_updated": "2019-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Robert, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.