Individual provider Active NPI

Kelly Elizabeth Ferian

  • Athletic Trainer
  • Cranberry Township, PA
National Provider Identifier
1427558568
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
RT007354 Issued in PA
Practice address
2000 Old Station Rd Apt 2106
Cranberry Township, PA 16066-1812
Phone
(440) 724-5097
NPI assigned
Feb 15, 2018
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X RT007354 PA Primary

Addresses

Primary practice location

2000 Old Station Rd Apt 2106
Cranberry Township, PA 16066-1812

Mailing address

11687 Shagbark TRL
Strongsville, OH 44149-8537

Other practice location 1

11687 Shagbark Trl
Strongsville, OH 44149-8537
Phone (440) 724-5097

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

State licenses

LicenseStateTypeSpecialty
RT007354PAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1427558568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11687 SHAGBARK TRL",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441498537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OLD STATION RD APT 2106",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160661812",
            "telephone_number": "440-724-5097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11687 Shagbark Trl",
            "address_purpose": "LOCATION",
            "city": "Strongsville",
            "state": "OH",
            "postal_code": "441498537",
            "country_code": "US",
            "telephone_number": "440-724-5097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERIAN",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2023-07-17",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT007354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.