Active NPI
Kathleen Joy Renton, ATC
- Athletic Trainer
- Bellmore, NY
National Provider Identifier
1629518253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 000932-1
- Practice address
- 2106 Hillside Ave
Bellmore, NY 11710-3265 - Phone
- (516) 225-4641
- NPI assigned
- Mar 1, 2017
- 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 | 000932-1 | NY | Primary |
Addresses
Primary practice location
2106 Hillside Ave
Bellmore, NY 11710-3265
Mailing address
2106 Hillside Ave
Bellmore, NY 11710-3265
Phone (516) 225-4641
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 |
|---|---|---|---|
| 000932-1 | NY | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488326400000",
"number": "1629518253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2106 HILLSIDE AVE",
"city": "BELLMORE",
"state": "NY",
"postal_code": "117103265",
"telephone_number": "516-225-4641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2106 HILLSIDE AVE",
"city": "BELLMORE",
"state": "NY",
"postal_code": "117103265",
"telephone_number": "516-225-4641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENTON",
"first_name": "KATHLEEN",
"middle_name": "JOY",
"name_prefix": "Ms.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-01",
"last_updated": "2017-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "000932-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.