Katharine Dennison

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

11362883-4810 Issued in UT

Practice address

7400 Old Main HL
Logan, UT 84322-7400

Phone

(435) 797-1850

NPI assigned

Jul 29, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1518511450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 SUNCREST LN APT 102",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843413129",
            "telephone_number": "615-426-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 OLD MAIN HL",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843227400",
            "telephone_number": "435-797-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNISON",
        "first_name": "KATHARINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "UT",
            "license": "11362883-4810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katiejdennison@aggiemail.usu.edu",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7400 Old Main Hl",
            "city": "Logan",
            "state": "UT",
            "country_code": "US",
            "postal_code": "843227400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Monica Pate Dehek
• Lance Charles Delange, FNP
• Sonia Delbusso, ATC
• Kathryn Delost, BS, ATC
• Nicole Beardall Denney
• Isabelle Rose Denowski, MAT, ATC, CES
• Deserae J Goble MD PC
• Amelia Maren Despain
• Matthew James Dewey
• Regina Renee Dickinson, LCSW

• Athletic Trainer in Logan, UT
• Providers in Logan, UT by specialty
• Athletic Trainer in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.