Kimberly Lynne Victora, ATC, CSCS, PES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

221-039 Issued in WI

Practice address

3111 Gundersen Dr
NC1-002
Onalaska, WI 54650-8447

Phone

(608) 775-8600

NPI assigned

Sep 9, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Kimberly Lynne Zirbel Former name

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1730173303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 GRISWOLD AVE",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546699284",
            "telephone_number": "608-775-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 GUNDERSEN DR",
            "address_2": "NC1-002",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508447",
            "telephone_number": "608-775-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTORA",
        "first_name": "KIMBERLY",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "ATC, CSCS, PES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "1562",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "221-039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "ZIRBEL",
            "middle_name": "LYNNE",
            "prefix": "MS.",
            "credential": "ATC, CSCS, PES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles N Vannatta, DPT
• Lisa A Veglahn, MD
• Brea Veldboom, NP-C
• Alexa Rae Verthein, MS, LPC-IT
• Janet Lynn Verthein, SAC, PS
• Sean Thomas Vierling
• Thomas Joseph Vierling Jr.
• Hans E. Von Weiss, DO
• Mariana K Vosika, MD
• Joanna Noel Voth, OT

• Athletic Trainer in Onalaska, WI
• Providers in Onalaska, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.