Active NPI
Kristyn Ann Wilhelm, M.ED., ATC, SCAT
- Athletic Trainer
- Conway, SC
National Provider Identifier
1982179347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 925 One Landon Loop
Conway, SC 29526 - Phone
- (843) 349-4038
- NPI assigned
- Oct 11, 2018
- Sex
- Female
- Sole proprietor
- No
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 | SC | Primary |
Addresses
Primary practice location
925 One Landon Loop
Conway, SC 29526
Mailing address
632 Kent LN Apt 57B
Myrtle Beach, SC 29579-4148
Phone (586) 484-2323
Other practice location 1
925 One Landon Loop
Conway, SC 29526
Phone (843) 349-4038
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
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539216000000",
"number": "1982179347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 KENT LN APT 57B",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295794148",
"telephone_number": "586-484-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 ONE LANDON LOOP",
"city": "CONWAY",
"state": "SC",
"postal_code": "29526",
"telephone_number": "843-349-4038"
}
],
"practiceLocations": [
{
"address_1": "925 One Landon Loop",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "SC",
"postal_code": "29526",
"country_code": "US",
"telephone_number": "843-349-4038",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILHELM",
"first_name": "KRISTYN",
"middle_name": "ANN",
"credential": "M.ED., ATC, SCAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-11",
"last_updated": "2018-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.