Active NPI
Kevin Patrick Lord, ATC
- Athletic Trainer
- Carlsbad, CA
National Provider Identifier
1811380199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 040502053
- Practice address
- 2885 Loker Ave E
Carlsbad, CA 92010-6626 - Phone
- (760) 681-8253
- Fax
- (636) 246-0041
- NPI assigned
- Mar 11, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 040502053 | MO | Primary |
Addresses
Primary practice location
2885 Loker Ave E
Carlsbad, CA 92010-6626
Mailing address
5989 Mergenthal CT
Weldon Spring, MO 63304-9129
Phone (760) 681-8253
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 |
|---|---|---|---|
| 040502053 | MO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426032000000",
"number": "1811380199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5989 MERGENTHAL CT",
"city": "WELDON SPRING",
"state": "MO",
"postal_code": "633049129",
"telephone_number": "760-681-8253",
"fax_number": "636-246-0041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2885 LOKER AVE E",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920106626",
"telephone_number": "760-681-8253",
"fax_number": "636-246-0041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORD",
"first_name": "KEVIN",
"middle_name": "PATRICK",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-11",
"last_updated": "2015-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "040502053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.