Active NPI
Kysha Harriell, PHD, ATC, LAT
- Athletic Trainer
- Coral Gables, FL
National Provider Identifier
1902065659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL813
- Practice address
- 5821 San Amaro Dr
Coral Gables, FL 33146-2402 - Phone
- (305) 284-3201
- NPI assigned
- Jun 7, 2008
- 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 | AL813 | FL | Primary |
Addresses
Primary practice location
5821 San Amaro Dr
Coral Gables, FL 33146-2402
Mailing address
1507 Levante Ave
Mo 122
Miami, FL 33146
Phone (305) 484-5072
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL813 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498953600000",
"number": "1902065659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 LEVANTE AVE",
"address_2": "MO 122",
"city": "MIAMI",
"state": "FL",
"postal_code": "33146",
"telephone_number": "305-484-5072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5821 SAN AMARO DR",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331462402",
"telephone_number": "305-284-3201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIELL",
"first_name": "KYSHA",
"name_prefix": "Dr.",
"credential": "PHD, ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-07",
"last_updated": "2017-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.