Individual provider Active NPI

Kristi L. Mounts, MS, ATC/L, CSCS

  • Athletic Trainer
  • Mableton, GA
National Provider Identifier
1326128299
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT001204 Issued in GA
Practice address
1 Whitefield Dr SE
Mableton, GA 30126-5236
Phone
(678) 305-1452
Fax
(770) 305-2915
NPI assigned
Oct 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT001204 GA Primary

Addresses

Primary practice location

1 Whitefield Dr SE
Mableton, GA 30126-5236

Mailing address

1276 Windsor Glen Dr
Douglasville, GA 30134-2733
Phone (770) 577-3069

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AT001204GAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326128299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 WINDSOR GLEN DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342733",
            "telephone_number": "770-577-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WHITEFIELD DR SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265236",
            "telephone_number": "678-305-1452",
            "fax_number": "770-305-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNTS",
        "first_name": "KRISTI",
        "middle_name": "L.",
        "credential": "MS, ATC/L, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT001204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.