Kaleen Woodburymonda, MS,LAT,ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

427 E Mountain Ridge MHP
Wilkes Barre, PA 18702-8000

Phone

(570) 262-1421

NPI assigned

Mar 30, 2020

Last updated

Mar 30, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1255969945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 E MOUNTAIN RIDGE MHP",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187028000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 E MOUNTAIN RIDGE MHP",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187028000",
            "telephone_number": "570-262-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODBURYMONDA",
        "first_name": "KALEEN",
        "credential": "MS,LAT,ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paran Mukhija Woloski
• Daniel Joon Won, DDS
• David A Wood, DO
• Kimberly M. Wood, PA-C
• Jameson Dean Woodard, MD
• Lisa Mary Woodworth, MSW
• Sarah Ann Worsnick, PA-C
• Eric A Wright, PHARM.D.
• James Wright, MS, LAT, ATC
• Madalyn Wright

• Athletic Trainer in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Athletic Trainer in Pennsylvania

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