Individual provider Active NPI

Kristin Janell Been, ATC

  • Athletic Trainer
  • Fort Smith, AR
National Provider Identifier
1801324751
Registry record updated May 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
484 Issued in AR
Practice address
3205 Jenny Lind Rd
Fort Smith, AR 72901-7101
Phone
(479) 785-2501
Fax
(479) 420-3655
NPI assigned
May 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2017

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 484 AR Primary

Addresses

Primary practice location

3205 Jenny Lind Rd
Fort Smith, AR 72901-7101

Mailing address

2905 Love St
Pocola, OK 74902-2454
Phone (918) 721-1753

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
484ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Smith School District 100 Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495497600000",
    "number": "1801324751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 LOVE ST",
            "city": "POCOLA",
            "state": "OK",
            "postal_code": "749022454",
            "telephone_number": "918-721-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 JENNY LIND RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729017101",
            "telephone_number": "479-785-2501",
            "fax_number": "479-420-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEN",
        "first_name": "KRISTIN",
        "middle_name": "JANELL",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2017-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AR",
            "license": "484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; 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.