Active NPI
Kelly Liermann, MSED, ATC, PES
- Athletic Trainer
- University of Richmond, VA
National Provider Identifier
1770577819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 01260007900
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 01260007900 | VA | MD | Athletic 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.