Kathleen Vesta, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2038 Issued in MN

Practice address

2298 Longstreet Rd a
Fort Bragg, NC 28310-0001

Phone

(910) 907-5063

NPI assigned

Jul 30, 2014

Last updated

Jul 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1528476801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 41ST AVENUE CT S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565607473",
            "telephone_number": "701-936-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2298 LONGSTREET RD A",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-907-5063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 8th St S",
            "address_purpose": "LOCATION",
            "city": "Moorhead",
            "state": "MN",
            "postal_code": "565620001",
            "country_code": "US",
            "telephone_number": "701-936-1078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VESTA",
        "first_name": "KATHLEEN",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "2038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Ventenilla, DDS
• Ernesto M Vera Jr., DDS
• Mila Verner, LCSW
• Carmen Versoza, DO
• Sandra Lynn Vest, LCSW
• Taylor Frederick Randall Vice, MD
• Kristoffer Villamin, CRNA
• Arielle Villanueva, M.D.
• Ronald Ray Viramontes Jr., NREMT-P, IDMT
• Anna Marie Viviano, PA-C

• Athletic Trainer in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.