CAROLINE JEAN KANDRAVI
NPI 1770440133
Specialist/Technologist - Athletic Trainer in Green Bay, WI

Q: What is Caroline Kandravi's NPI number?

The NPI number for Caroline Kandravi is 1770440133. It was assigned to this individual provider in the NPPES registry on January 7, 2026.

Q: What is Caroline Kandravi's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Caroline Kandravi was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 07, 2026

1970 S RIDGE RD, GREEN BAY, WI 54304(920) 430-4888(920) 430-4889 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Caroline Jean Kandravi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINE JEAN KANDRAVI (NPI 1770440133) is an individual athletic trainer provider in Green Bay, Wisconsin, licensed in Wisconsin (331239) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1770440133

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameCAROLINE JEAN KANDRAVI

Location Address1970 S RIDGE RDGreen Bay, WI 54304-4125

Mailing Address1570 Quarry Park Dr Apt 10De Pere, WI 54115-7526 · (920) 471-7299

Phone(920) 430-4888

Fax(920) 430-4889

Sole ProprietorNo

Enumeration DateJanuary 7, 2026

NPPES CertifiedJanuary 7, 2026

✔ NPI 1770440133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in WI · 331239

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

1970 S RIDGE RD, Green Bay, WI 54304

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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