Individual provider Active NPI

Kelsey Lauren Timmons, ATC, LAT

  • Athletic Trainer
  • Austin, TX
National Provider Identifier
1386227510
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT8037 Issued in TX
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

Updated by the provider on May 5, 2021

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 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

IdentifierTypeStateIssuer
2000022606OtherCOATHLETIC TRAINER CERTIFIED

Other names 1

  • Kelsey Lauren Timmons-Monrreal Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
AT8037TXMDAthletic 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.

Verify at the official NPI Registry.