Active NPI
Kimberly Ann Diaz Salinas I, ATC., LAT.
- Athletic Trainer
- Fort Campbell, KY
National Provider Identifier
1366916850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 3294
- Practice address
- 650 Joel Dr
Fort Campbell, KY 42223-5318 - Phone
- (575) 993-1407
- NPI assigned
- Jan 17, 2019
- 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 | 3294 | TN | Primary |
Addresses
Primary practice location
650 Joel Dr
Fort Campbell, KY 42223-5318
Mailing address
180C Quin LN Unit C
Clarksville, TN 37042-1452
Phone (575) 993-1407
Other practice location 1
20565 Old Ironsides Dr
Fort Bliss, TX 79918-8068
Phone (575) 993-1407
Other practice location 2
1815 Wells St
Las Cruces, NM 88003-1304
Phone (575) 646-1420
Other names 1
- Kimberly Ann Diaz Salinas
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 |
|---|---|---|---|
| 3294 | TN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1366916850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180C QUIN LN UNIT C",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370421452",
"telephone_number": "575-993-1407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 JOEL DR",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "422235318",
"telephone_number": "575-993-1407"
}
],
"practiceLocations": [
{
"address_1": "20565 Old Ironsides Dr",
"address_purpose": "LOCATION",
"city": "Fort Bliss",
"state": "TX",
"postal_code": "799188068",
"country_code": "US",
"telephone_number": "575-993-1407",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1815 Wells St",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880031304",
"country_code": "US",
"telephone_number": "575-646-1420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALINAS",
"first_name": "KIMBERLY ANN",
"middle_name": "DIAZ",
"name_suffix": "I",
"credential": "ATC., LAT.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-17",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "3294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY ANN",
"last_name": "DIAZ SALINAS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fort Campbell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.