Individual provider Active NPI

Brina Kylene Strebeck, ATC

  • Athletic Trainer
  • Williamsburg, KY
National Provider Identifier
1932163557
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT574 Issued in KY
Practice address
7790 College Station Dr
Williamsburg, KY 40769-1388
Phone
(606) 539-4133
Fax
(606) 539-4126
NPI assigned
Apr 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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 AT574 KY Primary

Addresses

Primary practice location

7790 College Station Dr
Williamsburg, KY 40769-1388

Mailing address

975 Old Corbin Pike Rd
Williamsburg, KY 40769-2800
Phone (606) 261-4108

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
AT574KYMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1932163557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 OLD CORBIN PIKE RD",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407692800",
            "telephone_number": "606-261-4108",
            "fax_number": "606-539-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7790 COLLEGE STATION DR",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407691388",
            "telephone_number": "606-539-4133",
            "fax_number": "606-539-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREBECK",
        "first_name": "BRINA",
        "middle_name": "KYLENE",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "AT574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.