Kimberly Aguilar, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT-374 Issued in HI

Practice address

360 Mamala Bay Dr
Jbphh, HI 96853-1801

Phone

(808) 447-1590

NPI assigned

Jan 8, 2018

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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Belfield Physical Therapy Inc

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  • NPI 1215994058

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  NPD (past)
• The Audiology Offices LLC

  • Audiologist
  • Kilmarnock, VA
  • NPI 1972716066

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1669989950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 KAILUA RD APT 5101",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MAMALA BAY DR",
            "city": "JBPHH",
            "state": "HI",
            "postal_code": "968531801",
            "telephone_number": "808-447-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "KIMBERLY",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002918",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "HI",
            "license": "AT-374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFICATION",
            "identifier": "2000026367",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AT-374",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.aguilar@teamexos.com",
            "affiliation": "N",
            "address_1": "360 Mamala Bay Dr",
            "city": "Jbphh",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968531801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danielle Dawn Acacio, MD
• Bradley James Adair, SFMS
• George Henry Alba, RN
• James Ladd Aldridge, DMTIDC
• Zachary Brice Andrews
• Michael Keonisabino Aperto-Apodaca, SFIDC
• Madeline Aune

• All providers in Jbphh, HI
• Athletic Trainer in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.