Active NPI
Chris King, ATC
- Athletic Trainer
- Kimberly, AL
National Provider Identifier
1538599162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 054
- Practice address
- 1920 Blue Devil Dr
Kimberly, AL 35091-3174 - Phone
- (205) 379-4850
- Fax
- (205) 379-4895
- NPI assigned
- Nov 18, 2013
- Last updated
- Nov 18, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 054 | AL | Primary |
Addresses
Primary practice location
1920 Blue Devil Dr
Kimberly, AL 35091-3174
Mailing address
9475 Ambrose LN
Kimberly, AL 35091-2020
Phone (205) 379-4850
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
| License | State | Type | Specialty |
|---|---|---|---|
| 054 | AL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384732800000",
"number": "1538599162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9475 AMBROSE LN",
"city": "KIMBERLY",
"state": "AL",
"postal_code": "350912020",
"telephone_number": "205-379-4850",
"fax_number": "205-379-4895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 BLUE DEVIL DR",
"city": "KIMBERLY",
"state": "AL",
"postal_code": "350913174",
"telephone_number": "205-379-4850",
"fax_number": "205-379-4895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "CHRIS",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-18",
"last_updated": "2013-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kimberly, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.