Active NPI
Kristine Ann Ensign, AT
- Athletic Trainer
- Athens, OH
National Provider Identifier
1558647602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 002869
- Practice address
- 53 Richland Avenue
Ohio University, Grover Center E187
Athens, OH 45701 - Phone
- (407) 593-9497
- NPI assigned
- Nov 2, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 002869 | OH | Primary |
Addresses
Primary practice location
53 Richland Avenue
Ohio University, Grover Center E187
Athens, OH 45701
Mailing address
53 Richland Avenue
Ohio University, Grover Center E187
Athens, OH 45701
Phone (407) 593-9497
Other practice location 1
642 W Hospital Rd
Paoli, IN 47454-9672
Phone (812) 723-2811
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 |
|---|---|---|---|
| 002869 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1558647602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 RICHLAND AVENUE",
"address_2": "OHIO UNIVERSITY, GROVER CENTER E187",
"city": "ATHENS",
"state": "OH",
"postal_code": "45701",
"telephone_number": "407-593-9497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 RICHLAND AVENUE",
"address_2": "OHIO UNIVERSITY, GROVER CENTER E187",
"city": "ATHENS",
"state": "OH",
"postal_code": "45701",
"telephone_number": "407-593-9497"
}
],
"practiceLocations": [
{
"address_1": "642 W Hospital Rd",
"address_purpose": "LOCATION",
"city": "Paoli",
"state": "IN",
"postal_code": "474549672",
"country_code": "US",
"telephone_number": "812-723-2811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENSIGN",
"first_name": "KRISTINE",
"middle_name": "ANN",
"credential": "AT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-02",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "002869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.