Individual provider Active NPI

Karina Marie Doyle, ATC, LAT, LMT

  • Athletic Trainer
  • Longmont, CO
National Provider Identifier
1972013886
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT.0001638 Issued in CO
Practice address
36 Baylor Dr
Longmont, CO 80503-2111
Phone
(720) 652-9873
Fax
(720) 652-9873
NPI assigned
Oct 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT.0019804 CO
Athletic Trainer 2255A2300X AT.0001638 CO Primary

Addresses

Primary practice location

36 Baylor Dr
Longmont, CO 80503-2111

Mailing address

36 Baylor Dr
Longmont, CO 80503-2111
Phone (720) 652-9873

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
AT.0001638COMDAthletic Trainer
MT.0019804COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1972013886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 BAYLOR DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805032111",
            "telephone_number": "720-652-9873",
            "fax_number": "720-652-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 BAYLOR DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805032111",
            "telephone_number": "720-652-9873",
            "fax_number": "720-652-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "KARINA",
        "middle_name": "MARIE",
        "credential": "ATC, LAT, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0019804",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "AT.0001638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

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

Verify at the official NPI Registry.