Active NPI
Helen Kreschollek
- Athletic Trainer
- Bethlehem, PA
National Provider Identifier
1508559345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 2284 Black River Rd
Bethlehem, PA 18015-5303 - Phone
- (610) 392-8268
- NPI assigned
- May 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2284 Black River Rd
Bethlehem, PA 18015-5303
Mailing address
2284 Black River Rd
Bethlehem, PA 18015-5303
Phone (610) 392-8268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 14, 2024.
{
"created_epoch": "1685318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1508559345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2284 BLACK RIVER RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180155303",
"telephone_number": "610-392-8268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2284 BLACK RIVER RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180155303",
"telephone_number": "610-392-8268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRESCHOLLEK",
"first_name": "HELEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-29",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"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 Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.