Individual provider Active NPI

Kennedy Pipers, DAT, LAT, ATC

  • Athletic Trainer
  • Baton Rouge, LA
National Provider Identifier
1417446147
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
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

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.