Kristi D Weidner, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096001812 Issued in IL

Practice address

507 E Cherry St
P0 Box 27
Robinson, IL 62454-3305

Phone

(217) 259-2006

NPI assigned

Feb 24, 2010

Last updated

Feb 24, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristi D Weidner-Rawlings Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1578885125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 E CHERRY ST",
            "address_2": "P0 BOX 27",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624543305",
            "telephone_number": "217-259-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 E CHERRY ST",
            "address_2": "P0 BOX 27",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624543305",
            "telephone_number": "217-259-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDNER",
        "first_name": "KRISTI",
        "middle_name": "D",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096001812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "WEIDNER-RAWLINGS",
            "middle_name": "D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kacie D Walton Flenniken, BS
• Brenda Wampler
• WC- Robinson Ops, LLC (Brookstone Estates Robinson)
• Valerie Michele Weck, PH.D.
• Debbie Weger, BA
• Tammy Lynn Wieties, OD
• William H Bedwell OD
• Megan Williams, MSW, LCSW
• Michele Lynn Wright, MS OTRL
• Mahmoud A Yassin, M.D.

• Athletic Trainer in Robinson, IL
• Providers in Robinson, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.