Caitlin Nicole Crump, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT1473 Issued in KY

Practice address

200 Codella Dr Ste B
Winchester, KY 40391-7117

Phone

(859) 745-2152

NPI assigned

Mar 4, 2021

Sex

Female

Sole proprietor

No

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": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1629663372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 BON HAVEN AVE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911148",
            "telephone_number": "859-749-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CODELLA DR STE B",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403917117",
            "telephone_number": "859-745-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMP",
        "first_name": "CAITLIN",
        "middle_name": "NICOLE",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "AT1473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Tyler Coyle
• Billy Joe Craig, DMD
• Crisp Dre LLC
• Timothy F. Crisp, D.M.D.
• Haley Crowe
• Dustin Cundiff, DO
• Joy Beth Curtis, PSYD
• Faith Nicole Dalrymple, M.A. CF-SLP
• Justice Ariana Daniel, MS,ATC,LAT
• Sara M Darmadji, APRN, FNP-BC

• Athletic Trainer in Winchester, KY
• Providers in Winchester, KY by specialty
• Athletic Trainer in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.