Active NPI
Kristin A Woitte, ATC
- Athletic Trainer
- Vancouver, WA
National Provider Identifier
1366593261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A160047792
- Practice address
- 1933 Fort Vancouver Way
Vancouver, WA 98663-3529 - Phone
- (360) 992-2913
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- No
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 | A160047792 | WA | Primary |
Addresses
Primary practice location
1933 Fort Vancouver Way
Vancouver, WA 98663-3529
Mailing address
PO Box 2953
Vancouver, WA 98668-2953
Phone (360) 461-0259
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
| License | State | Type | Specialty |
|---|---|---|---|
| A160047792 | WA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568505600000",
"number": "1366593261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2953",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986682953",
"telephone_number": "360-461-0259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1933 FORT VANCOUVER WAY",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986633529",
"telephone_number": "360-992-2913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOITTE",
"first_name": "KRISTIN",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2019-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WA",
"license": "A160047792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.