Kaitlin Tortorich, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

304398 Issued in LA

Practice address

63501 Fish Hatchery Rd
Lacombe, LA 70445-4909

Phone

(985) 264-6810

NPI assigned

Oct 16, 2017

Last updated

Oct 16, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1124539325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 READ BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701273106",
            "telephone_number": "504-592-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63501 FISH HATCHERY RD",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "704454909",
            "telephone_number": "985-264-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORTORICH",
        "first_name": "KAITLIN",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "LA",
            "license": "304398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "Y18636479",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie B Talamo, RN
• Harold Denny Taylor, M.D.
• Michael Terrillion, LCSW, LPC, CEAP, MHA
• The North Institute, Apmc
• The North Institute, Apmc
• Judy Tykol, M.A., CCC-SLP
• Darren Michael Vigee, DPM
• Bassam G. Wanna, M.D.
• Jessica Weicks, M.S.
• Daniel Wharton Jr.

• Athletic Trainer in Lacombe, LA
• Providers in Lacombe, LA by specialty
• Athletic Trainer in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.