Kimberly Diane Baughman, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL3136 Issued in FL

Practice address

5500 34TH St W
Bradenton, FL 34210-3506

Phone

(941) 807-2026

NPI assigned

Nov 11, 2020

Last updated

Nov 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1679175046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 26TH ST W APT 903",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071217",
            "telephone_number": "412-721-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 34TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103506",
            "telephone_number": "941-807-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGHMAN",
        "first_name": "KIMBERLY",
        "middle_name": "DIANE",
        "credential": "LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL3136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bradenton",
            "affiliation": "N",
            "address_1": "5500 34th St W",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342103506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jordan M Battaglia
• Crystal Battaille
• Audrey G Bauer, MD
• Grace C Bauer, DMD
• Robin R Bauer, MSW, LCSW
• Kayla Baum
• Sabrina Baumberger, RD, LD
• Henry Bausback, O.D.
• Bautista Medical Group LLC
• Natasha Brooke Bautista, FNP

• Athletic Trainer in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.