Active NPI
Kimberlie Moriah Scales
- Athletic Trainer
- Desoto, TX
National Provider Identifier
1558948141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 605 Teresa Dr
Desoto, TX 75115-5165 - Phone
- (214) 769-0874
- NPI assigned
- Mar 28, 2021
- Last updated
- Apr 23, 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 | NU | Primary |
Addresses
Primary practice location
605 Teresa Dr
Desoto, TX 75115-5165
Mailing address
605 Teresa Dr
Desoto, TX 75115-5165
Phone (214) 769-0874
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1558948141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 TERESA DR",
"city": "DESOTO",
"state": "TX",
"postal_code": "751155165",
"telephone_number": "214-769-0874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 TERESA DR",
"city": "DESOTO",
"state": "TX",
"postal_code": "751155165",
"telephone_number": "214-769-0874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCALES",
"first_name": "KIMBERLIE",
"middle_name": "MORIAH",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-28",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.