Kayleigh Connie Zavadil

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000011659 Issued in SC

Practice address

2060 Sam Rittenberg Blvd
Charleston, SC 29407-4616

Phone

(843) 876-0111

NPI assigned

Nov 9, 2021

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

State licenses

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1295491850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 JONATHAN LUCAS STREET ORTHOPEDICS",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294250001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 SAM RITTENBERG BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074616",
            "telephone_number": "843-876-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVADIL",
        "first_name": "KAYLEIGH",
        "middle_name": "CONNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "2000011659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Bryn Zanetti, PA-C
• Cole Anthony Zanetti, DO, MPH
• Mareesa L Zarate, PA-C
• Marina Zaretskaya, M.D.
• Annette Y Zaro, DC
• Jane Ann Zazzaro, PSY.D.
• Elizabeth Zborek, DO
• Joseph James Zealberg, MD
• Rachael Zealy, PA-C
• George Zecopoulos, R.PH.

• Athletic Trainer in Charleston, SC
• Providers in Charleston, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.