Kelly Whitney-Babcock, A.T.C., L.A.T.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36002479A Issued in IN

Practice address

1001 E 17TH St
Bloomington, IN 47408-1590

Phone

(916) 880-8276

NPI assigned

Nov 9, 2015

Last updated

Nov 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1790158954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 W ALLEN ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032950",
            "telephone_number": "916-880-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E 17TH ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474081590",
            "telephone_number": "916-880-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNEY-BABCOCK",
        "first_name": "KELLY",
        "credential": "A.T.C., L.A.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36002479A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maelynn White
• Ronald Lemond White, M.D.
• Paige Whitesell
• Jennifer Whitley
• Todd Mitchell Whitlock, D.D.S.
• Kegahn Whyte, RBT
• Hayley Rose Wible, D.O.
• Jonathan Wicks, ATC, LAT, M.ED
• Otto William Wickstrom III, M.D.
• Theresa Wiegand-Swihart, M.S.,OTR/CHT

• Athletic Trainer in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.