Active NPI
Kathryn Julia Wilmot, MS, LAT, ATC
- Athletic Trainer
- Pensacola, FL
National Provider Identifier
1386419471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL7055
- Practice address
- 11000 University Pkwy
Pensacola, FL 32514-5732 - Phone
- (508) 641-7437
- NPI assigned
- Nov 17, 2023
- 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 | AL7055 | FL | Primary |
Addresses
Primary practice location
11000 University Pkwy
Pensacola, FL 32514-5732
Mailing address
1715 E Avery St
Pensacola, FL 32503-5766
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL7055 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1386419471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 E AVERY ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325035766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11000 UNIVERSITY PKWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325145732",
"telephone_number": "508-641-7437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILMOT",
"first_name": "KATHRYN",
"middle_name": "JULIA",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-17",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL7055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.