Kacey Chamness, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096002512 Issued in IL

Practice address

102 W Monroe St
Anna, IL 62906-1607

Phone

(618) 201-7951

NPI assigned

Dec 8, 2016

Last updated

Dec 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1992249056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W MONROE ST",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629061607",
            "telephone_number": "618-201-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W MONROE ST",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629061607",
            "telephone_number": "618-201-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMNESS",
        "first_name": "KACEY",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096002512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centerstone of Illinois, Inc
• Centerstone of Illinois, Inc
• Anthony Joseph Cerny, R.PH.
• John Michael Cerny, M.D.
• Chamness Care, Inc
• Melissa Chapman, ADN,RN
• Chiro Tess, LLC
• Brenda Maria Cirre, PTA
• Claripath Psychiatry PLLC
• Community Integrated Living, Inc. (CIL, Inc.)

• Athletic Trainer in Anna, IL
• Providers in Anna, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.