Active NPI
Ashtyn Joy Collins, ATC
- Athletic Trainer
- Louisville, KY
National Provider Identifier
1407494271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 824 S 4TH St
Louisville, KY 40203-2116 - Phone
- (502) 585-9911
- NPI assigned
- Dec 12, 2019
- 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
824 S 4TH St
Louisville, KY 40203-2116
Mailing address
651 Mallard Creek Rd
Louisville, KY 40207-5462
Other names 1
- Ashtyn Joy Kaptein
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | http://www.athletictrainersystem.com/ | Direct |
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": "1576108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576108800000",
"number": "1407494271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 MALLARD CREEK RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402075462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 S 4TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402032116",
"telephone_number": "502-585-9911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "ASHTYN",
"middle_name": "JOY",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-12",
"last_updated": "2019-12-12",
"certification_date": "2019-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "http://www.athletictrainersystem.com/",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "824 S 4th St",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402032116",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ASHTYN",
"last_name": "KAPTEIN",
"middle_name": "JOY",
"credential": "ATC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.