Individual provider Active NPI

Robert Christopher Kearn, ATC

  • Athletic Trainer
  • Newport News, VA
National Provider Identifier
1861163479
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0126002869 Issued in VA
Practice address
1 Avenue of the Arts
Newport News, VA 23606-3072
Phone
(757) 594-7787
NPI assigned
Sep 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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 0126002869 VA Primary

Addresses

Primary practice location

1 Avenue of the Arts
Newport News, VA 23606-3072

Mailing address

69 Raleigh Rd
Newport News, VA 23601-4237

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address robert.kearn@cnu.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
0126002869VAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1861163479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 RALEIGH RD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236014237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AVENUE OF THE ARTS",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063072",
            "telephone_number": "757-594-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARN",
        "first_name": "ROBERT",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.kearn@cnu.edu",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "address_1": "1 Avenue Of The Arts",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236063072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.