Individual provider Active NPI

Kristen Longville, ATS

  • Athletic Trainer
  • Fremont, NE
National Provider Identifier
1831744663
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
979 Issued in NE
Practice address
907 N Logan St
Fremont, NE 68025-4300
Phone
(605) 620-0013
NPI assigned
Aug 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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 979 NE Primary

Addresses

Primary practice location

907 N Logan St
Fremont, NE 68025-4300

Mailing address

907 N Logan St # 294
Fremont, NE 68025-4300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Longville@midlandu.edu

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
979NEMDChiropractor

Interoperability endpoints

  • Direct secure messaging: longville@midlandu.edu

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1831744663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 N LOGAN ST # 294",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680254300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N LOGAN ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680254300",
            "telephone_number": "605-620-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGVILLE",
        "first_name": "KRISTEN",
        "credential": "ATS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NE",
            "license": "979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Longville@midlandu.edu",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "address_1": "907 N Logan St",
            "city": "Fremont",
            "state": "NE",
            "country_code": "US",
            "postal_code": "680254300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.