Kara G Werner-Sanders, LAT, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36001632A Issued in IN

Practice address

111 W Jefferson Blvd
Suite 100
South Bend, IN 46601-1994

Phone

(574) 647-1670

NPI assigned

Oct 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1275712085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 SWEET ALYSSUM CT",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465456246",
            "telephone_number": "630-987-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W JEFFERSON BLVD",
            "address_2": "SUITE 100",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011994",
            "telephone_number": "574-647-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER-SANDERS",
        "first_name": "KARA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "LAT, ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "930-039",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001324",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36001632A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donielle Wells
• Nycole Wells, MD
• Carla Wenger-Nussbaum, PT
• Melissa J Wentland
• Kathryn L. Werda, MSPT, DPT, OCS
• Kyle J Wesley, DO
• Avianna Wesson, RBT
• Ebony West
• Marianne V West, M.S.W., L.C.S.W.
• Alison Westerink, LMHC, CT

• Athletic Trainer in South Bend, IN
• Providers in South Bend, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.