Individual provider Active NPI

Kathleen Anne Sime, MS, ATC

  • Athletic Trainer
  • Grosse Pointe Woods, MI
National Provider Identifier
1467779504
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
1045 Cook Rd
Grosse Pointe Woods, MI 48236-2509
Phone
(313) 884-4444
Fax
(313) 884-1775
NPI assigned
Apr 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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 Primary

Addresses

Primary practice location

1045 Cook Rd
Grosse Pointe Woods, MI 48236-2509

Mailing address

1045 Cook Rd
Grosse Pointe Woods, MI 48236-2509
Phone (313) 884-4444

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

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1467779504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 COOK RD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362509",
            "telephone_number": "313-884-4444",
            "fax_number": "313-884-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 COOK RD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362509",
            "telephone_number": "313-884-4444",
            "fax_number": "313-884-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIME",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.