NPIMap

Organization Active NPI

Nationwide Children'S Hospital

  • Athletic Trainer
  • Westerville, OH
National Provider Identifier
1790169860
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT.004136 Issued in OH
Legal business name
NATIONWIDE CHILDREN'S HOSPITAL
Practice address
584 County Line Rd W
Westerville, OH 43082-7245
Phone
(614) 355-6090
NPI assigned
Jul 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Authorized official

Name
Lisa Kluchurosky
Title
Sports Medicine Program Manager
Phone
(614) 355-6020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X AT.004136 OH Primary

Addresses

Primary practice location

584 County Line Rd W
Westerville, OH 43082-7245

Mailing address

584 County Line Rd W
Westerville, OH 43082-7245

National Provider Directory

National Provider Directory
Tax ID family
Mineto Kamada20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1790169860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 COUNTY LINE RD W",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 COUNTY LINE RD W",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827245",
            "telephone_number": "614-355-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONWIDE CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "KLUCHUROSKY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "SPORTS MEDICINE PROGRAM MANAGER",
        "authorized_official_telephone_number": "614-355-6020"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT.004136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.