Individual provider Active NPI

Kimberly Ann Diaz Salinas I, ATC., LAT.

  • Athletic Trainer
  • Fort Campbell, KY
National Provider Identifier
1366916850
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
3294 Issued in TN
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

Updated by the provider on Nov 21, 2025

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 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 Other name

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
3294TNMDPhysical 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.

Verify at the official NPI Registry.