Active NPI
Kimberly Calvert, MS, ATC, NASM-PES
- Athletic Trainer
- Oshkosh, WI
National Provider Identifier
1487798625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 360-39
- Practice address
- 800 Algoma Blvd
Kolf 169G
Oshkosh, WI 54901-3551 - Phone
- (920) 424-3227
- NPI assigned
- Feb 19, 2007
- 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 | 360-39 | WI | Primary |
Addresses
Primary practice location
800 Algoma Blvd
Kolf 169G
Oshkosh, WI 54901-3551
Mailing address
800 Algoma Blvd.
Kolf 169G Uw Oshkosh
Oshkosh, WI 54901
Phone (920) 424-3227
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
| License | State | Type | Specialty |
|---|---|---|---|
| 360-39 | WI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1487798625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 ALGOMA BLVD.",
"address_2": "KOLF 169G UW OSHKOSH",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "54901",
"telephone_number": "920-424-3227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ALGOMA BLVD",
"address_2": "KOLF 169G",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549013551",
"telephone_number": "920-424-3227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALVERT",
"first_name": "KIMBERLY",
"credential": "MS, ATC, NASM-PES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "360-39",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.