Joshua Krispin, ATC LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

9433 Randal Park Blvd
Orlando, FL 32832-6287

Phone

(419) 705-5151

NPI assigned

May 2, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1871029561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9433 RANDAL PARK BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326287",
            "telephone_number": "419-705-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9433 RANDAL PARK BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326287",
            "telephone_number": "419-705-5151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11686 Saddleback Ct",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577038504",
            "country_code": "US",
            "telephone_number": "419-705-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISPIN",
        "first_name": "JOSHUA",
        "credential": "ATC LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-02",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "AT002757",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Lynn Kriparos
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• Stephanie Krivda
• Juozas Krizinauskas, CP
• Kroger Specialty Pharmacy FL 2 LLC

• Athletic Trainer in Orlando, FL
• Providers in Orlando, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.