Active NPI
Amy Kathleen Hawkins, ATC
- Athletic Trainer
- Malad City, ID
National Provider Identifier
1851637433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 7783119-4810
- Practice address
- 2230 N 2400 W
Malad City, ID 83252-6517 - Phone
- (801) 698-2028
- NPI assigned
- Dec 30, 2012
- Sex
- Female
- 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 | 7783119-4810 | UT | Primary |
Addresses
Primary practice location
2230 N 2400 W
Malad City, ID 83252-6517
Mailing address
2230 N 2400 W
Malad City, ID 83252-6517
Phone (801) 698-2028
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 |
|---|---|---|---|
| 7783119-4810 | UT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356825600000",
"number": "1851637433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 N 2400 W",
"city": "MALAD CITY",
"state": "ID",
"postal_code": "832526517",
"telephone_number": "801-698-2028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 N 2400 W",
"city": "MALAD CITY",
"state": "ID",
"postal_code": "832526517",
"telephone_number": "801-698-2028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "AMY",
"middle_name": "KATHLEEN",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-30",
"last_updated": "2012-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "UT",
"license": "7783119-4810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malad City, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.