Active NPI
Kelly Elizabeth Kirkpatrick, MS, LAT, ATC
- Athletic Trainer
- Clemmons, NC
National Provider Identifier
1487910758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1892
- Practice address
- 1735 Lewisville Clemmons Road
West Forsyth High School
Clemmons, NC 27012 - Phone
- (336) 399-5954
- NPI assigned
- Apr 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 1892 | NC | Primary |
Addresses
Primary practice location
1735 Lewisville Clemmons Road
West Forsyth High School
Clemmons, NC 27012
Mailing address
1735 Lewisville Clemmons Road
West Forsyth High School
Clemmons, NC 27012
Phone (336) 399-5954
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 |
|---|---|---|---|
| 1892 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1487910758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 LEWISVILLE CLEMMONS ROAD",
"address_2": "WEST FORSYTH HIGH SCHOOL",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "27012",
"telephone_number": "336-399-5954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1735 LEWISVILLE CLEMMONS ROAD",
"address_2": "WEST FORSYTH HIGH SCHOOL",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "27012",
"telephone_number": "336-399-5954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKPATRICK",
"first_name": "KELLY",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "MS, LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-11",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "1892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clemmons, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.