Janice Kathryn Hamachek Kellner

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2030-39 Issued in WI

Practice address

707 S University Ave
Beaver Dam, WI 53916-3027

Phone

(920) 219-4009

NPI assigned

Mar 13, 2015

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

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": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1609269752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 S UNIVERSITY AVE",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539163027",
            "telephone_number": "920-219-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S UNIVERSITY AVE",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539163027",
            "telephone_number": "920-219-4009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Maple St",
            "address_purpose": "LOCATION",
            "city": "DeForest",
            "state": "WI",
            "postal_code": "535321422",
            "country_code": "US",
            "telephone_number": "920-901-4382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLNER",
        "first_name": "JANICE",
        "middle_name": "KATHRYN HAMACHEK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-13",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "2030-39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas J Kalinosky, DO
• Ewa Kalinowska, DMD
• Angela Marie Kalsbeek, APSW
• Peggy A Katsma, NP
• Jamie Kazmarek, COTA
• Shannon Michelle Kelly, MSW
• Kim Marie Kennedy, REGISTERED NURSE
• Owen C Kennedy
• Bridget M Kilbride, PA-C
• Mary Leigh Kirschbaum, M.S./CCC-SLP

• Athletic Trainer in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.