Active NPI
Kennedy Pipers, DAT, LAT, ATC
- Athletic Trainer
- Baton Rouge, LA
National Provider Identifier
1417446147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 1 Skip Bertman Dr
Baton Rouge, LA 70803-4144 - Phone
- (225) 578-9244
- NPI assigned
- May 8, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | WI | ||
| Athletic Trainer | 2255A2300X | LA | Primary |
Addresses
Primary practice location
1 Skip Bertman Dr
Baton Rouge, LA 70803-4144
Mailing address
3315 Old Lantern Dr
Brookfield, WI 53005-3375
Other practice location 1
3450 Hull Rd
Gainesville, FL 32607-4144
Phone (352) 273-7001
Other practice location 2
1475 Engineering Dr
Madison, WI 53706-1607
Phone (806) 264-8065
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": "1525737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1417446147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3315 OLD LANTERN DR",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530053375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SKIP BERTMAN DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708034144",
"telephone_number": "225-578-9244"
}
],
"practiceLocations": [
{
"address_1": "3450 Hull Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326074144",
"country_code": "US",
"telephone_number": "352-273-7001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1475 Engineering Dr",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537061607",
"country_code": "US",
"telephone_number": "806-264-8065",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIPERS",
"first_name": "KENNEDY",
"credential": "DAT, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-08",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.