Kirk S Richardson, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1086 Issued in SC

Practice address

375 Robert M Bell Pkwy
Aiken, SC 29801-6385

Phone

(803) 641-3628

Fax

(803) 641-3441

NPI assigned

Aug 19, 2013

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of South Carolina Aiken

  • Athletic Trainer
  • Aiken, SC
  • NPI 1790111094
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1669805206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 JOSHUA LN",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298011712",
            "telephone_number": "540-309-6029",
            "fax_number": "803-641-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 ROBERT M BELL PKWY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016385",
            "telephone_number": "803-641-3628",
            "fax_number": "803-641-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KIRK",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "1086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Draper Rexroad, PHARM D
• Julianna Faith Reynolds, OTR/L
• Rezaur Rahman Reza, MD
• Kelsey Rhoad
• Kathryn Bullard Rhode
• Rhett Hamer Richardson, OD
• Gabriela Rico
• Dana M Rideout, LPC
• Ashley Elizabeth Ridgeway, PHARMD
• Karen Riles, LBSW

• Athletic Trainer in Aiken, SC
• Providers in Aiken, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.