Active NPI
Kristyn Watts, ATC
- Athletic Trainer
- Ottawa, KS
National Provider Identifier
1659844272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 24-01330
- Practice address
- 1301 S Main St
Ottawa, KS 66067-3537 - Phone
- (785) 229-8453
- NPI assigned
- Jan 7, 2019
- 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 | 24-01330 | KS | Primary |
Addresses
Primary practice location
1301 S Main St
Ottawa, KS 66067-3537
Mailing address
1301 S Main St
Ottawa, KS 66067-3537
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24-01330 | Other | KS | KANSAS STATE ATHLETIC TRAINING LICENSE |
| 2000024594 | Other | BOARD OF CERTIFICATION |
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 |
|---|---|---|---|
| 24-01330 | KS | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1659844272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 S MAIN ST",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660673537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 S MAIN ST",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660673537",
"telephone_number": "785-229-8453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "KRISTYN",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-07",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KS",
"license": "24-01330",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KANSAS STATE ATHLETIC TRAINING LICENSE",
"identifier": "24-01330",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CERTIFICATION",
"identifier": "2000024594",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Ottawa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.