Active NPI
Erika Lynne McKinney, EDD, LAT, ATC, CHES
- Athletic Trainer
- Waukesha, WI
National Provider Identifier
1255736195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 3175-39
- Practice address
- 100 N East Ave
Waukesha, WI 53186-3103 - Phone
- (419) 618-6018
- Fax
- (262) 524-7690
- NPI assigned
- Nov 4, 2014
- Last updated
- Feb 24, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT001537 | GA | |
| Athletic Trainer | 2255A2300X | 3175-39 | WI | Primary |
Addresses
Primary practice location
100 N East Ave
Waukesha, WI 53186-3103
Mailing address
429 Century Oak Dr
Waukesha, WI 53188-2545
Phone (419) 618-6018
Other names 1
- Erika Lynne Kastner
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 |
|---|---|---|---|
| AT001537 | GA | MD | Athletic Trainer |
| 3175-39 | WI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708732800000",
"number": "1255736195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 CENTURY OAK DR",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531882545",
"telephone_number": "419-618-6018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N EAST AVE",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531863103",
"telephone_number": "419-618-6018",
"fax_number": "262-524-7690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "ERIKA",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "EDD, LAT, ATC, CHES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-04",
"last_updated": "2024-02-24",
"certification_date": "2024-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT001537",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "3175-39",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIKA",
"last_name": "KASTNER",
"middle_name": "LYNNE",
"credential": "MS, LAT, ATC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.