Active NPI
Kristin Lee Luther, MS, ATC
- Athletic Trainer
- Cortland, NY
National Provider Identifier
1598962235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 001411-1
- Practice address
- Park Center, 1 Pashley Drive
Cortland, NY 13045 - Phone
- (607) 753-5944
- Fax
- (607) 753-5929
- NPI assigned
- Jun 27, 2007
- 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 | 001411-1 | NY | Primary |
Addresses
Primary practice location
Park Center, 1 Pashley Drive
Cortland, NY 13045
Mailing address
508 Wolcott Ave
Syracuse, NY 13207-1145
Phone (315) 345-6505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22 | Other | NY | 22 |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001411-1 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598962235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 WOLCOTT AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132071145",
"telephone_number": "315-345-6505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PARK CENTER, 1 PASHLEY DRIVE",
"city": "CORTLAND",
"state": "NY",
"postal_code": "13045",
"telephone_number": "607-753-5944",
"fax_number": "607-753-5929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTHER",
"first_name": "KRISTIN",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "MS, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "001411-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "22",
"identifier": "22",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cortland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.