Active NPI
Kayla Kleihauer, M.ED., LAT, ATC, EMT
- Athletic Trainer
- Des Moines, IA
National Provider Identifier
1013459635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 000945
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000006151 | Other | IA | CERTIFIED ATHLETIC TRAINER |
| 000945 | Other | IA | LICENSED ATHLETIC TRAINER |
| B-11-350-21 | Other | IA | EMERGENCY 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
| License | State | Type | Specialty |
|---|---|---|---|
| 000945 | IA | MD | Athletic 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.