Active NPI
Kelsey Lauren Timmons, ATC, LAT
- Athletic Trainer
- Austin, TX
National Provider Identifier
1386227510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT8037
- Practice address
- 13212 N Lamar Blvd
Austin, TX 78753-1010 - Phone
- (512) 594-0854
- NPI assigned
- May 5, 2021
- 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 | AT8037 | TX | Primary |
Addresses
Primary practice location
13212 N Lamar Blvd
Austin, TX 78753-1010
Mailing address
2208 Baugh Rd
Austin, TX 78754-4115
Phone (303) 489-8465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000022606 | Other | CO | ATHLETIC TRAINER CERTIFIED |
Other names 1
- Kelsey Lauren Timmons-Monrreal
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kelsey.timmons@pfisd.net | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| AT8037 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1386227510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2208 BAUGH RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787544115",
"telephone_number": "303-489-8465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13212 N LAMAR BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787531010",
"telephone_number": "512-594-0854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMMONS",
"first_name": "KELSEY",
"middle_name": "LAUREN",
"name_prefix": "Ms.",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-05",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT8037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETIC TRAINER CERTIFIED",
"identifier": "2000022606",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kelsey.timmons@pfisd.net",
"affiliation": "N",
"endpointDescription": "Desktop/Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "13212 N LaMar Blvd",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787531010",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KELSEY",
"last_name": "TIMMONS-MONRREAL",
"middle_name": "LAUREN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.