Active NPI
Karly Nicole Baumann, LAT, ATC
- Athletic Trainer
- Gainesville, FL
National Provider Identifier
1720595036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL5611
- Practice address
- 3450 Hull Rd
Gainesville, FL 32607 - Phone
- (812) 406-7125
- NPI assigned
- Jan 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | IN | ||
| Athletic Trainer | 2255A2300X | AL5611 | FL | Primary |
Addresses
Primary practice location
3450 Hull Rd
Gainesville, FL 32607
Mailing address
4011 Scottsville Rd
Floyds Knobs, IN 47119-9360
Other practice location 1
3803 Laurent Libs Ct
Floyds Knobs, IN 47119-9786
Phone (812) 406-7125
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL5611 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562025600000",
"number": "1720595036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4011 SCOTTSVILLE RD",
"city": "FLOYDS KNOBS",
"state": "IN",
"postal_code": "471199360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 HULL RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32607",
"telephone_number": "812-406-7125"
}
],
"practiceLocations": [
{
"address_1": "3803 Laurent Libs Ct",
"address_purpose": "LOCATION",
"city": "Floyds Knobs",
"state": "IN",
"postal_code": "471199786",
"country_code": "US",
"telephone_number": "812-406-7125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUMANN",
"first_name": "KARLY",
"middle_name": "NICOLE",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-08",
"last_updated": "2019-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL5611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.