Active NPI
Kati Ellen Whitcomb
- Athletic Trainer
- North Andover, MA
National Provider Identifier
1992588099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 315 Turnpike St
North Andover, MA 01845-5806 - Phone
- (978) 837-5000
- NPI assigned
- Aug 14, 2023
- 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 | Primary |
Addresses
Primary practice location
315 Turnpike St
North Andover, MA 01845-5806
Mailing address
89 Kernwood Dr
Lynn, MA 01904-1738
Phone (339) 235-9948
Other practice location 1
775 Bay Rd
South Hamilton, MA 01982-1053
Phone (978) 468-0400
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1992588099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 KERNWOOD DR",
"city": "LYNN",
"state": "MA",
"postal_code": "019041738",
"telephone_number": "339-235-9948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 TURNPIKE ST",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018455806",
"telephone_number": "978-837-5000"
}
],
"practiceLocations": [
{
"address_1": "775 Bay Rd",
"address_purpose": "LOCATION",
"city": "South Hamilton",
"state": "MA",
"postal_code": "019821053",
"country_code": "US",
"telephone_number": "978-468-0400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITCOMB",
"first_name": "KATI",
"middle_name": "ELLEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Andover, MA
- Well Behavioral Health- New England LLC
- Danielle West, LICSW
- Judith B West, DPT
- Kathleen Colton Westhead Dennis, DNP
- Rosemarie L. Wetmore, MSW
- Loleata D Wigall, MS
- Bridget Marie Wilczynski, LMHC
- William a Cook MD PC
- Yasmin Monica Willis, PA-C
- Willows Associates Psychological & Counseling Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.