Active NPI
Kimberly Schaeffer, LAT, ATC
- Athletic Trainer
- Aurora, IL
National Provider Identifier
1609451293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 096005103
- Practice address
- 901 N Edgelawn Dr
Aurora, IL 60506-1819 - Phone
- (630) 896-0831
- NPI assigned
- Mar 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 096005103 | IL | Primary |
Addresses
Primary practice location
901 N Edgelawn Dr
Aurora, IL 60506-1819
Mailing address
3 Locust CT
South Elgin, IL 60177-2875
Phone (847) 845-1001
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096005103 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1609451293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 LOCUST CT",
"city": "SOUTH ELGIN",
"state": "IL",
"postal_code": "601772875",
"telephone_number": "847-845-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N EDGELAWN DR",
"city": "AURORA",
"state": "IL",
"postal_code": "605061819",
"telephone_number": "630-896-0831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFFER",
"first_name": "KIMBERLY",
"credential": "LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-15",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096005103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.