Individual provider Active NPI

Nathan Holtzapple, ATC

  • Athletic Trainer
  • Florence, KY
National Provider Identifier
1386185643
Registry record updated Mar 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT555 Issued in KY
Practice address
68 Cavalier Blvd
Suite 1700
Florence, KY 41042-1645
Phone
(859) 283-0707
NPI assigned
Mar 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2017

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 AT555 KY Primary

Addresses

Primary practice location

68 Cavalier Blvd
Suite 1700
Florence, KY 41042-1645

Mailing address

68 Cavalier Blvd
Suite 1700
Florence, KY 41042-1645
Phone (859) 322-2391

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
AT555KYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Rehabilitation Services Inc Past Accepting new patients
Kentucky Rehabilitation Services Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489881600000",
    "number": "1386185643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 CAVALIER BLVD",
            "address_2": "SUITE 1700",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421645",
            "telephone_number": "859-322-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CAVALIER BLVD",
            "address_2": "SUITE 1700",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421645",
            "telephone_number": "859-283-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTZAPPLE",
        "first_name": "NATHAN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-19",
        "last_updated": "2017-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "AT555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2017; 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.