Kelly Svistovski, MAT, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

LAT-2999 Issued in NC

Practice address

48380 US 52 N
Richfield, NC 28137-0960

Phone

(704) 463-3202

Fax

(704) 463-5051

NPI assigned

Nov 14, 2016

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pfeiffer University Sports Medicine

  • Student in an Organized Health Care Education/Training Program
  • Misenheimer, NC
  • NPI 1215309687
  NPD (past)

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1851833495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960",
            "city": "MISENHEIMER",
            "state": "NC",
            "postal_code": "281090960",
            "telephone_number": "704-463-3202",
            "fax_number": "704-463-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48380 US 52 N",
            "city": "RICHFIELD",
            "state": "NC",
            "postal_code": "281370960",
            "telephone_number": "704-463-3202",
            "fax_number": "704-463-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVISTOVSKI",
        "first_name": "KELLY",
        "credential": "MAT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-2999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Smedek, FNP
• Cindi Lea Stafford, PHARMD
• Stanly Medical Services (Richfield Medical Services)
• Leane Veronica Sullivan, IBCLC
• Supportive Solutions NC LLC
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3007)
• Alexis Wills
• Zhane Maron Wills

• Athletic Trainer in Richfield, NC
• Providers in Richfield, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.