Kimberly McCartney, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL5838 Issued in FL

Practice address

1311 Florida Ave BLDG 36087
Tyndall Afb, FL 32403-5207

Phone

(210) 383-5091

NPI assigned

Apr 19, 2017

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

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": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1689108391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 HAWTHORNE PL",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324445652",
            "telephone_number": "210-383-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 FLORIDA AVE BLDG 36087",
            "city": "TYNDALL AFB",
            "state": "FL",
            "postal_code": "324035207",
            "telephone_number": "210-383-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTNEY",
        "first_name": "KIMBERLY",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT6390",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL5838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Ian Longstreet, M.D.
• John A. Losurdo, D.O
• Maria Elena Lotis, DO
• Marcie Lee Mann, RN
• Glenn A Mason, M.D.
• Jessica McDaniel
• Janet McEwan, PH.D.
• Scott McKim, O.D.
• Johanna Mees
• Amber Merefield, LSW

• Athletic Trainer in Tyndall Afb, FL
• Providers in Tyndall Afb, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.