Active NPI
Esther E Kim, MS ATC
- Athletic Trainer
- St Petersburg, FL
National Provider Identifier
1821489642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL3352
- Practice address
- 1901 Dr Martin Luther King Jr St N
Suite B
St Petersburg, FL 33704-4272 - Phone
- (727) 898-3852
- Fax
- (727) 381-3873
- NPI assigned
- Feb 16, 2015
- Last updated
- Feb 16, 2015
- 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 | AL3352 | FL | Primary |
Addresses
Primary practice location
1901 Dr Martin Luther King Jr St N
Suite B
St Petersburg, FL 33704-4272
Mailing address
1532 Oakfield Dr
Suite a
Brandon, FL 33511-0829
Phone (813) 381-3852
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL3352 | FL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trasco Wellness LLC | Athletic Trainer | Past | Accepting new patients |
| Tampa Bay Spine and Injury | Athletic Trainer | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Tampa Bay Spine and Sport
- Chiropractor
- St Petersburg, FL
- NPI 1386939973
Athletic Trainer
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424044800000",
"number": "1821489642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1532 OAKFIELD DR",
"address_2": "SUITE A",
"city": "BRANDON",
"state": "FL",
"postal_code": "335110829",
"telephone_number": "813-381-3852",
"fax_number": "813-381-3873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 DR MARTIN LUTHER KING JR ST N",
"address_2": "SUITE B",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337044272",
"telephone_number": "727-898-3852",
"fax_number": "727-381-3873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ESTHER",
"middle_name": "E",
"credential": "MS ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-16",
"last_updated": "2015-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL3352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.