Christa Marie Hendley, DAT, LAT, ATC, GTS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

KRS 311.905 Issued in KY

Practice address

7790 College Station Dr
Williamsburg, KY 40769-1388

Phone

(606) 304-3659

NPI assigned

Sep 29, 2011

Last updated

Feb 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1669756482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 REDDING RD APT 2103",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405172548",
            "telephone_number": "859-962-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7790 COLLEGE STATION DR",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407691388",
            "telephone_number": "606-304-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDLEY",
        "first_name": "CHRISTA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "DAT, LAT, ATC, GTS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "AT1231",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "KRS 311.905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.