Gabriela Kaye Poalino, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

900 N John R Wooden Dr RM B198
West Lafayette, IN 47907-2117

Phone

(765) 494-3245

NPI assigned

Jun 29, 2019

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

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

{
    "created_epoch": "1561766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1033771076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880128",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685880128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N JOHN R WOODEN DR RM B198",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479072117",
            "telephone_number": "765-494-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POALINO",
        "first_name": "GABRIELA",
        "middle_name": "KAYE",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-29",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winona Benita Pitts, NP
• Kylie Pitzer
• Alexia Platt
• Shelley Plessinger
• Tama Plumb
• Angela Marie Polmateer, OTR
• Alexa Pontillo, APRN
• Mary L Poole, MS
• Jennifer K Popp, EDD, ATC, LAT
• Kimberly Ann Pauline Porter

• Athletic Trainer in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.