Kayla Dynise Ewing

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT8235 Issued in TX

Practice address

2201 Richter Ave
Waco, TX 76711-1954

Phone

(254) 424-6207

NPI assigned

Mar 4, 2018

Last updated

Jun 18, 2020By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1520121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1093217226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 RICHTER AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767111954",
            "telephone_number": "254-424-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 RICHTER AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767111954",
            "telephone_number": "254-424-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWING",
        "first_name": "KAYLA",
        "middle_name": "DYNISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-04",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT8235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCOTT &  WHITE HMO",
            "identifier": "10053642703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philippa Maria Evans, PH.D.
• Victoria Evans, LCDC
• Krystal Belen Evanueva
• Brady Everett
• Macey Lynn Everett, MS, RD
• Express ER Harco PA (Express ER)
• Eyemart Express LLC
• Eyemart Express, LTD.
• Babatunde Francis Fagbamiye, MD
• Ryan Wesley Fairchild, M.D.

• Athletic Trainer in Waco, TX
• Providers in Waco, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.