Deborah Kostrub

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

615 McCallie Ave
Chattanooga, TN 37403-2504

Phone

(615) 427-2769

NPI assigned

Jul 3, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1568024149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5143 REAGAN DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371297665",
            "telephone_number": "615-427-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032504",
            "telephone_number": "615-427-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTRUB",
        "first_name": "DEBORAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Koonce
• Curtis Stokes Koontz, MD
• William K. Korn, MD
• Megan Dillman Kortum, OD
• Madeline Kosky
• Elizabeth Ann Kouvarakis, CRNA
• Silvia Lisbeth Kozak, DNP-FNP, APRN
• Jennifer Denise Kozlica, RN, MPH
• KPM Dental Partners PLLC
• Howard Andrew Kraft, M.D.

• All providers in Chattanooga, TN
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.