Kaitlin Niemiec, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT1344 Issued in KY

Practice address

1150 Danville Rd
Harrodsburg, KY 40330-9625

Phone

(832) 457-2683

NPI assigned

Oct 5, 2020

Last updated

Oct 5, 2020By the provider in NPPES

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1427655372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 DANVILLE RD",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403309625",
            "telephone_number": "832-457-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 DANVILLE RD",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403309625",
            "telephone_number": "832-457-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMIEC",
        "first_name": "KAITLIN",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "AT1344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "campbellsville2.atsusers.com",
            "affiliation": "N",
            "endpointDescription": "EMR system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1150 Danville Rd",
            "city": "Harrodsburg",
            "state": "KY",
            "country_code": "US",
            "postal_code": "403309625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "campbellsville2.atsusers.com",
            "affiliation": "N",
            "endpointDescription": "EMR system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1150 Danville Rd",
            "city": "Harrodsburg",
            "state": "KY",
            "country_code": "US",
            "postal_code": "403309625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Athletic Trainer in Harrodsburg, KY
• Providers in Harrodsburg, KY by specialty
• Athletic Trainer in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.