Individual provider Active NPI

Kelly S Wescott, MS, ATC

  • Athletic Trainer
  • Honolulu, HI
National Provider Identifier
1679098057
Registry record updated Aug 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
200 Issued in HI
Practice address
50 S Beretania St Ste C117A
Honolulu, HI 96813-2215
Phone
(808) 544-9360
Fax
(808) 543-8032
NPI assigned
Aug 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 200 HI Primary

Addresses

Primary practice location

50 S Beretania St Ste C117A
Honolulu, HI 96813-2215

Mailing address

241 Kaiulani Ave Apt 404
Honolulu, HI 96815-3003
Phone (908) 619-1453

Other identifiers 3

IdentifierTypeStateIssuer
2000005921OtherBOARD OF CERTIFICATION
1034003OtherNATIONAL ATHLETIC TRAINING ASSOCIATION
200OtherHIATHLETIC TRAINER PROGRAM

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1679098057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 KAIULANI AVE APT 404",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968153003",
            "telephone_number": "908-619-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S BERETANIA ST STE C117A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132215",
            "telephone_number": "808-544-9360",
            "fax_number": "808-543-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESCOTT",
        "first_name": "KELLY",
        "middle_name": "S",
        "credential": "MS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "HI",
            "license": "200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFICATION",
            "identifier": "2000005921",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ATHLETIC TRAINING ASSOCIATION",
            "identifier": "1034003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER PROGRAM",
            "identifier": "200",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; 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.