Individual provider Active NPI

Cynthia Nicole Kimler, ATC, LAT

  • Athletic Trainer
  • Morrisville, NC
National Provider Identifier
1972182772
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
LAT-5751 Issued in NC
Practice address
5601 Arringdon Park Dr Ste 300
Morrisville, NC 27560-5677
Phone
(435) 830-3585
NPI assigned
Apr 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X LAT-5751 NC Primary
Athletic Trainer 2255A2300X 1216 OK

Addresses

Primary practice location

5601 Arringdon Park Dr Ste 300
Morrisville, NC 27560-5677

Mailing address

5601 Arringdon Park Dr Ste 300
Morrisville, NC 27560-5677
Phone (435) 830-3585

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
1216OKMDAddiction (Substance Use Disorder) Counselor
LAT-5751NCMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1972182772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 ARRINGDON PARK DR STE 300",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605677",
            "telephone_number": "435-830-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 ARRINGDON PARK DR STE 300",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605677",
            "telephone_number": "435-830-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMLER",
        "first_name": "CYNTHIA",
        "middle_name": "NICOLE",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-5751",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OK",
            "license": "1216",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.