Active NPI
Kayla Pearce
- Athletic Trainer
- Safford, AZ
National Provider Identifier
1124583893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 001558
- Practice address
- 1400 W 11TH St
Safford, AZ 85546-3456 - Phone
- (928) 322-3552
- NPI assigned
- Feb 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 001558 | AZ | Primary |
Addresses
Primary practice location
1400 W 11TH St
Safford, AZ 85546-3456
Mailing address
1400 W 11TH St
Safford, AZ 85546-3456
Phone (928) 322-3552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000022348 | Other | NATA BOC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001558 | AZ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1124583893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 W 11TH ST",
"city": "SAFFORD",
"state": "AZ",
"postal_code": "855463456",
"telephone_number": "928-322-3552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 W 11TH ST",
"city": "SAFFORD",
"state": "AZ",
"postal_code": "855463456",
"telephone_number": "928-322-3552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARCE",
"first_name": "KAYLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-06",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "001558",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATA BOC",
"identifier": "2000022348",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Safford, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.