Amber Kristin Brown, AT, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT005678 Issued in OH

Practice address

1 High School Rd
The Plains, OH 45780-1148

Phone

(740) 797-4521

NPI assigned

Jul 22, 2018

Last updated

Jul 22, 2018By 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 2

Addresses

Other names 1

• Amber Kristin Klepacz Former name

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": "1532217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532217600000",
    "number": "1528545670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 E STATE ST APT 303",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011763",
            "telephone_number": "801-548-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HIGH SCHOOL RD",
            "city": "THE PLAINS",
            "state": "OH",
            "postal_code": "457801148",
            "telephone_number": "740-797-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "AMBER",
        "middle_name": "KRISTIN",
        "credential": "AT, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-22",
        "last_updated": "2018-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "UT",
            "license": "10231442-4810",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT005678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "KLEPACZ",
            "middle_name": "KRISTIN",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tammy June Ball
• Samantha Barnes, CDCA
• Daniel Barnett, PMHNP, CNP, APRN, RN
• Jeri Candace Bond, LPN WCC
• Betty Boyd
• Levi Richard Brown
• Buckeye Community Services, Inc
• Cambridge Home Health Care, Inc (Cambridge Caretenders)
• Cambridge Home Health Care, Inc Private (Cambridge Home Health Care Private - The Plains)
• Erin Canter

• Athletic Trainer in The Plains, OH
• Providers in The Plains, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2018; 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.