Kimberly Jean Lord, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

104-0000108 Issued in VT

Practice address

414 Route 7 S Unit 102
Milton, VT 05468-3807

Phone

(802) 893-1413

Fax

(802) 893-2253

NPI assigned

Oct 1, 2008

Last updated

Jul 30, 2013By 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": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1851542492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 ROUTE 7 S UNIT 102",
            "address_2": "PO BOX 526",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054683807",
            "telephone_number": "802-893-1413",
            "fax_number": "802-893-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 ROUTE 7 S UNIT 102",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054683807",
            "telephone_number": "802-893-1413",
            "fax_number": "802-893-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORD",
        "first_name": "KIMBERLY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VT",
            "license": "104-0000108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Lewellen, LICSW
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• Charles Robert Litchfield, MD
• David N Little, M.D.
• Rachel Wellman Look, DPT
• Meaghan Magner, ATC
• Madeline B Mann, NP
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• Jane McClelland, DPT
• Kari Joan McKinley, APRN

• Athletic Trainer in Milton, VT
• Providers in Milton, VT by specialty
• Athletic Trainer in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.