Individual provider Active NPI

Kimberly Nagy, ATC

  • Athletic Trainer
  • Kailua Kona, HI
National Provider Identifier
1538525886
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT-217 Issued in HI
Practice address
74-5000 Puohulihuli St
Kailua Kona, HI 96740-3318
Phone
(216) 246-2856
NPI assigned
Dec 31, 2015
Last updated
Dec 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT-217 HI Primary

Addresses

Primary practice location

74-5000 Puohulihuli St
Kailua Kona, HI 96740-3318

Mailing address

74-4966 Mamalahoa Hwy
Holualoa, HI 96725-8632
Phone (216) 246-2856

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

State licenses

LicenseStateTypeSpecialty
AT-217HIMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1538525886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74-4966 MAMALAHOA HWY",
            "city": "HOLUALOA",
            "state": "HI",
            "postal_code": "967258632",
            "telephone_number": "216-246-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74-5000 PUOHULIHULI ST",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403318",
            "telephone_number": "216-246-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGY",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "HI",
            "license": "AT-217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.