Active NPI
Kemba D. Ford, MS, LAT, ATC
- Athletic Trainer
- Washington, DC
National Provider Identifier
1548850878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126000521
- Practice address
- 1405 Brentwood Pkwy NE
Washington, DC 20002-2220 - Phone
- (301) 505-4648
- NPI assigned
- Jan 20, 2021
- Last updated
- Jan 20, 2021
- Sex
- Female
- 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 | 0126000521 | VA | Primary |
Addresses
Primary practice location
1405 Brentwood Pkwy NE
Washington, DC 20002-2220
Mailing address
7431 9TH St NW
Washington, DC 20012-1701
Phone (301) 505-4648
Other practice location 1
7431 9th St NW
Washington, DC 20012-1701
Phone (301) 505-4648
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126000521 | VA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1548850878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7431 9TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200121701",
"telephone_number": "301-505-4648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 BRENTWOOD PKWY NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200022220",
"telephone_number": "301-505-4648"
}
],
"practiceLocations": [
{
"address_1": "7431 9th St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200121701",
"country_code": "US",
"telephone_number": "301-505-4648",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORD",
"first_name": "KEMBA",
"middle_name": "D.",
"name_prefix": "Ms.",
"credential": "MS, LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-20",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126000521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.