Katheryn Grace Boobar, A.T.C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

104.0000140 Issued in VT

Practice address

7 World Cup Cir
Stratton MTN, VT 05155-9252

Phone

(802) 856-1136

Fax

(802) 297-0020

NPI assigned

Nov 30, 2005

Last updated

Sep 5, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788566400000",
    "number": "1851375273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "PERU",
            "state": "VT",
            "postal_code": "051520218",
            "telephone_number": "570-204-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WORLD CUP CIR",
            "city": "STRATTON MTN",
            "state": "VT",
            "postal_code": "051559252",
            "telephone_number": "802-856-1136",
            "fax_number": "802-297-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOBAR",
        "first_name": "KATHERYN",
        "middle_name": "GRACE",
        "credential": "A.T.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VT",
            "license": "104.0000140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; 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.