Individual provider Active NPI

Helen Kreschollek

  • Athletic Trainer
  • Bethlehem, PA
National Provider Identifier
1508559345
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
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)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.