Individual provider Active NPI

Lindsey Evan Kent (Walker), ATC

  • Athletic Trainer
  • Cullman, AL
National Provider Identifier
1497491963
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1484 Issued in AL
Practice address
811 2ND Ave SW
Cullman, AL 35055-4222
Phone
(256) 775-3737
NPI assigned
May 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2022

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 1484 AL Primary

Addresses

Primary practice location

811 2ND Ave SW
Cullman, AL 35055-4222

Mailing address

420 County Road 834
Logan, AL 35098-1543
Phone (256) 736-3940

Other names 1

  • Lindsey Evan Kent Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL ATGenius Direct

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

LicenseStateTypeSpecialty
1484ALMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Rehabilitation, Inc PastSince May 16, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1497491963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 COUNTY ROAD 834",
            "city": "LOGAN",
            "state": "AL",
            "postal_code": "350981543",
            "telephone_number": "256-736-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 2ND AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350554222",
            "telephone_number": "256-775-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT (WALKER)",
        "first_name": "LINDSEY",
        "middle_name": "EVAN",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "1484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ATGenius",
            "affiliation": "N",
            "endpointDescription": "Documentation system used for tracking injuries and referrals to Dr. and medical services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "811 2nd Ave SW",
            "city": "Cullman",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350554222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "KENT",
            "middle_name": "EVAN",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.