Individual provider Active NPI

Kayla Kleihauer, M.ED., LAT, ATC, EMT

  • Athletic Trainer
  • Des Moines, IA
National Provider Identifier
1013459635
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
000945 Issued in IA
Practice address
5921 SE 14TH St
Des Moines, IA 50320-1746
Phone
(515) 953-0024
Fax
(515) 953-0257
NPI assigned
Nov 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 000945 IA Primary

Addresses

Primary practice location

5921 SE 14TH St
Des Moines, IA 50320-1746

Mailing address

5921 SE 14TH St
Des Moines, IA 50320-1746

Other identifiers 3

IdentifierTypeStateIssuer
2000006151OtherIACERTIFIED ATHLETIC TRAINER
000945OtherIALICENSED ATHLETIC TRAINER
B-11-350-21OtherIAEMERGENCY MEDICAL TECHNICIAN

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
Emergency Medical Technician, Master of Education

State licenses

LicenseStateTypeSpecialty
000945IAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1013459635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5921 SE 14TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503201746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5921 SE 14TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503201746",
            "telephone_number": "515-953-0024",
            "fax_number": "515-953-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIHAUER",
        "first_name": "KAYLA",
        "credential": "M.ED., LAT, ATC, EMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "000945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED ATHLETIC TRAINER",
            "identifier": "2000006151",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ATHLETIC TRAINER",
            "identifier": "000945",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMERGENCY MEDICAL TECHNICIAN",
            "identifier": "B-11-350-21",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.