Katherine Helen Gorecki, MA, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT808 Issued in KY

Practice address

1605 Avenue of Champions
Bowling Green, KY 42101-6412

Phone

(270) 745-3743

Fax

(270) 745-4106

NPI assigned

May 23, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1417304262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 BLUE BELL WAY",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045615",
            "telephone_number": "270-745-3743",
            "fax_number": "270-745-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 AVENUE OF CHAMPIONS",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421016412",
            "telephone_number": "270-745-3743",
            "fax_number": "270-745-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORECKI",
        "first_name": "KATHERINE",
        "middle_name": "HELEN",
        "credential": "MA, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "AT808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demara Andrea Goodrich, APRN
• J Roger Goodwin, MD
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• Cheryl R Gore, APRN
• Cheyenne Gore
• Janeth Cruz Gossett
• Ronald Ray Gossett, KCSA
• C Fred Gott, M.D.
• Gould'S Discount Medical LLC
• Megan Lorene Gouvas, MS, BCBA, LBA

• Athletic Trainer in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Athletic Trainer in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.