Active NPI
Kei Utsumi
- Athletic Trainer
- College Park, MD
National Provider Identifier
1679820435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 379 Field House Dr
College Park, MD 20742-0001 - Phone
- (240) 508-3530
- NPI assigned
- Aug 12, 2012
- Last updated
- Aug 12, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
379 Field House Dr
College Park, MD 20742-0001
Mailing address
6411 Kenilworth Ave
Riverdale, MD 20737-1211
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344729600000",
"number": "1679820435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6411 KENILWORTH AVE",
"city": "RIVERDALE",
"state": "MD",
"postal_code": "207371211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "379 FIELD HOUSE DR",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207420001",
"telephone_number": "240-508-3530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UTSUMI",
"first_name": "KEI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-12",
"last_updated": "2012-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Park, MD
- University of Maryland Athletics-College Park
- University of Maryland Orthopaedic Associates, PA
- University of Maryland Pediatric Associates, PA
- University of Maryland Physicians, P.a. (University of Maryland Medical Group)
- University of Maryland Sports Medicine and Wellness, LLC
- Innocent Uwakwe
- Karen Van Allen, M.S.W.
- Claudia Paola Villarreal Cuevas, LMSW
- Visionmd, LLC
- W & V Solutions, LLC (Mic Homecare Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.