Active NPI
Kristen Allen, ATC
- Athletic Trainer
- Winnetka, IL
National Provider Identifier
1437700598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 096.003439
- Practice address
- 310 Green Bay Rd
Winnetka, IL 60093-4094 - Phone
- (847) 881-8858
- NPI assigned
- Sep 20, 2019
- Last updated
- Sep 20, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 096.003439 | IL | Primary |
Addresses
Primary practice location
310 Green Bay Rd
Winnetka, IL 60093-4094
Mailing address
310 Green Bay Rd
Winnetka, IL 60093-4094
Phone (847) 881-8858
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
| License | State | Type | Specialty |
|---|---|---|---|
| 096.003439 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1437700598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 GREEN BAY RD",
"city": "WINNETKA",
"state": "IL",
"postal_code": "600934094",
"telephone_number": "847-881-8858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 GREEN BAY RD",
"city": "WINNETKA",
"state": "IL",
"postal_code": "600934094",
"telephone_number": "847-881-8858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "KRISTEN",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-20",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096.003439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winnetka, IL
- Addie Ogara Therapy
- Courtney Albinson, PH.D.
- Alexander Oral Surgery, LTD.
- Michael Alexander, DMD
- All Nature's Way
- Amanda Merikas, DMD PC (Winnetka Dental Group)
- Susan Jeanne Antonini
- Cynthia Ashton, LCPC
- Athletico LTD (Athletico Physical Therapy & Occupational Therapy)
- Ayzenshteyn Chiropractic S.C (S&A Chiropractic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.