Individual provider Active NPI

Kayla Ann Stankowski Johnson, LAT, ATC

  • Athletic Trainer
  • Appleton, WI
National Provider Identifier
1265748503
Registry record updated Dec 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1348-39 Issued in WI
Practice address
5401 W Integrity Way
Appleton, WI 54913-8602
Phone
(844) 274-6849
NPI assigned
Aug 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X WI
Athletic Trainer 2255A2300X 1348-39 WI Primary

Addresses

Primary practice location

5401 W Integrity Way
Appleton, WI 54913-8602

Mailing address

5526 W Michaels Dr Apt 1
Appleton, WI 54913-8644
Phone (715) 240-8544

Other practice location 1

2355 Costco Way
Bellevue, WI 54311-9206
Phone (844) 274-6849

Other names 1

  • Kayla Ann Stankowski Former name

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

LicenseStateTypeSpecialty
1348-39WIMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765065600000",
    "number": "1265748503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5526 W MICHAELS DR APT 1",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138644",
            "telephone_number": "715-240-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 W INTEGRITY WAY",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138602",
            "telephone_number": "844-274-6849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2355 Costco Way",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WI",
            "postal_code": "543119206",
            "country_code": "US",
            "telephone_number": "844-274-6849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAYLA",
        "middle_name": "ANN STANKOWSKI",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2025-12-07",
        "certification_date": "2025-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "1348-39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "STANKOWSKI",
            "middle_name": "ANN",
            "credential": "LAT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.