Katherine Campaneria, MS, ATC, CEAS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

833-19 Issued in ND

Practice address

6399 E Harvest Ridge Dr
Austintown, OH 44515-5580

Phone

(330) 719-2352

NPI assigned

May 12, 2014

Last updated

Sep 9, 2024By 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

• Ms. Katie Frank Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1538570650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 5TH AVE NE # B202",
            "city": "WATFORD CITY",
            "state": "ND",
            "postal_code": "588543291",
            "telephone_number": "330-719-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6399 E HARVEST RIDGE DR",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445155580",
            "telephone_number": "330-719-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANERIA",
        "first_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "MS, ATC, CEAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT3141",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ND",
            "license": "833-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "FRANK",
            "prefix": "MS.",
            "credential": "MS, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Athletic Trainer in Austintown, OH
• Providers in Austintown, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.