Active NPI
Kyrsten Henry, ATC
- Athletic Trainer
- Richmond, KY
National Provider Identifier
1396255584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 521 Lancaster Ave
Richmond, KY 40475 - Phone
- (276) 219-8218
- NPI assigned
- Oct 3, 2017
- Last updated
- Jun 15, 2018
- 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 | Primary |
Addresses
Primary practice location
521 Lancaster Ave
Richmond, KY 40475
Mailing address
9209 Camp Bethel Rd
Wise, VA 24293-6523
Phone (276) 219-8218
Other practice location 1
9209 Camp Bethel Rd
Wise, VA 24293-6523
Phone (276) 219-8218
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1396255584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9209 CAMP BETHEL RD",
"city": "WISE",
"state": "VA",
"postal_code": "242936523",
"telephone_number": "276-219-8218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 LANCASTER AVE",
"city": "RICHMOND",
"state": "KY",
"postal_code": "40475",
"telephone_number": "276-219-8218"
}
],
"practiceLocations": [
{
"address_1": "9209 Camp Bethel Rd",
"address_purpose": "LOCATION",
"city": "Wise",
"state": "VA",
"postal_code": "242936523",
"country_code": "US",
"telephone_number": "276-219-8218",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENRY",
"first_name": "KYRSTEN",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-03",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.