Individual provider Active NPI

Kelly Liermann, MSED, ATC, PES

  • Athletic Trainer
  • University of Richmond, VA
National Provider Identifier
1770577819
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
01260007900 Issued in VA
Practice address
28 Westhampton Way
163 Robins Center
University of Richmond, VA 23173-0001
Phone
(804) 289-8001
Fax
(804) 289-8791
NPI assigned
Sep 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 01260007900 VA Primary

Addresses

Primary practice location

28 Westhampton Way
163 Robins Center
University of Richmond, VA 23173-0001

Mailing address

4107 Whitford Cir
Apt 801
Glen Allen, VA 23060-4153

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

LicenseStateTypeSpecialty
01260007900VAMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770577819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 WHITFORD CIR",
            "address_2": "APT 801",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230604153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WESTHAMPTON WAY",
            "address_2": "163 ROBINS CENTER",
            "city": "UNIVERSITY OF RICHMOND",
            "state": "VA",
            "postal_code": "231730001",
            "telephone_number": "804-289-8001",
            "fax_number": "804-289-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIERMANN",
        "first_name": "KELLY",
        "name_prefix": "Ms.",
        "credential": "MSED, ATC, PES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "01260007900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University of Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.