Kellie Lynn Piles

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A161314452 Issued in WA

Practice address

3146 Faith Ave
Joint Base Lewis McChord, WA 98433

Phone

(253) 966-0956

NPI assigned

Aug 4, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1205500113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6890 E CASCADE DR",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983668415",
            "telephone_number": "720-456-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3146 FAITH AVE",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "98433",
            "telephone_number": "253-966-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILES",
        "first_name": "KELLIE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "115167",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "A161314452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanel Pedersen
• Emily Phelan, DDS
• Shauna C Phipps, R.D.
• Steven Minh Phung, DMD
• Jose Davod Picart III
• John Anthony Poglodzinski
• Lauren Powers, ATC, SCAT
• Beau Prey
• Boonkit Purt, MD
• Ruth A. Racine, R.N., F.N.P.

• Athletic Trainer in Joint Base Lewis McChord, WA
• Providers in Joint Base Lewis McChord, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.