Active NPI
Kyle Holland, ATC
- Athletic Trainer
- Clearwater, FL
National Provider Identifier
1598369456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 651 N Old Coachman Rd
Clearwater, FL 33765-2321 - Phone
- (727) 712-4340
- NPI assigned
- Nov 22, 2020
- Last updated
- Jul 25, 2021
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
651 N Old Coachman Rd
Clearwater, FL 33765-2321
Mailing address
110 Old Washington St
Pembroke, MA 02359-2709
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": "1606003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627171200000",
"number": "1598369456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 OLD WASHINGTON ST",
"city": "PEMBROKE",
"state": "MA",
"postal_code": "023592709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 N OLD COACHMAN RD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337652321",
"telephone_number": "727-712-4340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "KYLE",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-22",
"last_updated": "2021-07-25",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.