Active NPI
Kayla Ann Cullerton, M.ED, M.S, LAT, ATC
- Athletic Trainer
- North Easton, MA
National Provider Identifier
1215302955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- ATL3408
- Practice address
- 320 Washington St
North Easton, MA 02357-5234 - Phone
- (508) 565-1592
- Fax
- (508) 565-1988
- NPI assigned
- Dec 7, 2015
- Last updated
- Jan 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | AT00427 | RI | |
| Athletic Trainer | 2255A2300X | ATL3408 | MA | Primary |
Addresses
Primary practice location
320 Washington St
North Easton, MA 02357-5234
Mailing address
44 Vose St
Woonsocket, RI 02895-5234
Phone (401) 808-0804
Other practice location 1
777 Cass Ave
Woonsocket, RI 02895-4776
Phone (401) 808-0804
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
- Credentials
- Master of Education, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATL3408 | MA | MD | Athletic Trainer |
| AT00427 | RI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1215302955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 VOSE ST",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028955234",
"telephone_number": "401-808-0804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 WASHINGTON ST",
"city": "NORTH EASTON",
"state": "MA",
"postal_code": "023575234",
"telephone_number": "508-565-1592",
"fax_number": "508-565-1988"
}
],
"practiceLocations": [
{
"address_1": "777 Cass Ave",
"address_purpose": "LOCATION",
"city": "Woonsocket",
"state": "RI",
"postal_code": "028954776",
"country_code": "US",
"telephone_number": "401-808-0804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CULLERTON",
"first_name": "KAYLA",
"middle_name": "ANN",
"credential": "M.ED, M.S, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-07",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "RI",
"license": "AT00427",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "ATL3408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Easton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.