Individual provider Active NPI

Katelyn Ann Freece, MS, ATC

  • Athletic Trainer
  • Columbus, OH
National Provider Identifier
1427329945
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT00.477 Issued in OH
Practice address
1313 Olentangy River Rd
Columbus, OH 43212-3120
Phone
(614) 839-2132
Fax
(614) 790-1038
NPI assigned
Jan 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 AT00.477 OH Primary
Athletic Trainer 2255A2300X 096.003287 IL

Addresses

Primary practice location

1313 Olentangy River Rd
Columbus, OH 43212-3120

Mailing address

395 Glenburn PL
Columbus, OH 43214-1821
Phone (614) 203-0538

Other practice location 1

1525 W Lincoln Hwy
Convocation Center 170
Dekalb, IL 60115-3989
Phone (815) 753-9477

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
096.003287ILMDAthletic Trainer
AT00.477OHMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1427329945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 GLENBURN PL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141821",
            "telephone_number": "614-203-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123120",
            "telephone_number": "614-839-2132",
            "fax_number": "614-790-1038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 W Lincoln Hwy",
            "address_2": "Convocation Center 170",
            "address_purpose": "LOCATION",
            "city": "Dekalb",
            "state": "IL",
            "postal_code": "601153989",
            "country_code": "US",
            "telephone_number": "815-753-9477",
            "fax_number": "815-753-1402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREECE",
        "first_name": "KATELYN",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT00.477",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.003287",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.