Individual provider Active NPI

Kira Ann Skroh, ATC. ATL

  • Athletic Trainer
  • Caldwell, ID
National Provider Identifier
1326263179
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT-249 Issued in ID
Practice address
1407 E Homedale Rd
Caldwell, ID 83607-1848
Phone
(208) 454-9253
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
Yes

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 AT-249 ID Primary

Addresses

Primary practice location

1407 E Homedale Rd
Caldwell, ID 83607-1848

Mailing address

8634 W Wall Dr
Boise, ID 83709-5873
Phone (208) 761-0713

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

State licenses

LicenseStateTypeSpecialty
AT-249IDMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326263179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8634 W WALL DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837095873",
            "telephone_number": "208-761-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 E HOMEDALE RD",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836071848",
            "telephone_number": "208-454-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKROH",
        "first_name": "KIRA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ATC. ATL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ID",
            "license": "AT-249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

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.