Active NPI
Kimberly Sue Peer, ED.D., ATC, LAT
- Athletic Trainer
- Kent, OH
National Provider Identifier
1982895876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT-122
- Practice address
- Kent State University
161D Macc Annex
Kent, OH 44242-0001 - Phone
- (330) 672-0231
- Fax
- (330) 672-4106
- NPI assigned
- Aug 6, 2007
- 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 | AT-122 | OH | Primary |
Addresses
Primary practice location
Kent State University
161D Macc Annex
Kent, OH 44242-0001
Mailing address
PO Box 5190 - Room 161D Macc Annex
Kent State University
Kent, OH 44242-0001
Phone (330) 672-0231
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
| License | State | Type | Specialty |
|---|---|---|---|
| AT-122 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186358400000",
"number": "1982895876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5190 - ROOM 161D MACC ANNEX",
"address_2": "KENT STATE UNIVERSITY",
"city": "KENT",
"state": "OH",
"postal_code": "442420001",
"telephone_number": "330-672-0231",
"fax_number": "330-672-4106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KENT STATE UNIVERSITY",
"address_2": "161D MACC ANNEX",
"city": "KENT",
"state": "OH",
"postal_code": "442420001",
"telephone_number": "330-672-0231",
"fax_number": "330-672-4106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEER",
"first_name": "KIMBERLY",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "ED.D., ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-06",
"last_updated": "2007-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT-122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.