Kyanna Pastore, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

005937 Issued in OH

Practice address

1160 Steelwood Rd
Columbus, OH 43212-1356

Phone

(908) 448-7037

NPI assigned

Sep 1, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1306364047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MILLER AVE",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763505",
            "telephone_number": "908-448-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 STEELWOOD RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432121356",
            "telephone_number": "908-448-7037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11300 NE 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331616628",
            "country_code": "US",
            "telephone_number": "305-899-3555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASTORE",
        "first_name": "KYANNA",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL4917",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "005937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiersten Marie Pasternak, PHARMD
• Nicholas James Pastis, MD
• Angela C Pasto, PMHNP-BC
• Joshua Andrew Pastor, MD
• Kassidy Leigh Niemann Pastor, PA-C
• Matthew Thomas Pastore, M.S., L.G.C.
• Alyssa R Pastorino, DO
• Siddhi Phenil Patadia
• Michele Patak-Pietrafesa, MSW, LISW-S
• Douglas G Patch, PT

• Athletic Trainer in Columbus, OH
• Providers in Columbus, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.