Kaitlyn Nicole Probelski

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1325 Williams St
Adrian, MI 49221-2563

Phone

(810) 599-5183

NPI assigned

Sep 2, 2020

Last updated

Sep 2, 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

Other names 1

• Kaitlyn Nicole Probelski Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1215541636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 CORNELL ST",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 WILLIAMS ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212563",
            "telephone_number": "810-599-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROBELSKI",
        "first_name": "KAITLYN",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "NA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1325 Williams St",
            "city": "Adrian",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492212563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "PROBELSKI",
            "middle_name": "NICOLE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Daniel Powers
• Rachel Powers
• Manish Prasad, M.D.
• Premier Chiropractic PLLC
• Primetime Chiropractic PLLC
• Shelly Elizabeth Proffitt, CHW
• Tesha Proffitt
• Promedica Central Corporation of Michigan
• Promedica Central Physicians (Toledo Pulmonary & Sleep Specialists)
• Promedica Continuing Care Services Corp (Promedica Home Medical Equipment)

• Athletic Trainer in Adrian, MI
• Providers in Adrian, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.