Active NPI
Kane Daigle, MS, LAT, ATC
- Athletic Trainer
- Vevay, IN
National Provider Identifier
1306557897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- ATH.200465
- Practice address
- 1020 W Main St
Vevay, IN 47043-9164 - Phone
- (225) 206-7391
- NPI assigned
- Dec 6, 2022
- Last updated
- Dec 6, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | ATH.200465 | LA | Primary |
Addresses
Primary practice location
1020 W Main St
Vevay, IN 47043-9164
Mailing address
6661 Arnett Rd
Vevay, IN 47043-9063
Phone (225) 206-7391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ATH.200465 | Other | LA | ATHLETIC TRAINER CERTIFICATION |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATH.200465 | LA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1306557897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6661 ARNETT RD",
"city": "VEVAY",
"state": "IN",
"postal_code": "470439063",
"telephone_number": "225-206-7391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 W MAIN ST",
"city": "VEVAY",
"state": "IN",
"postal_code": "470439164",
"telephone_number": "225-206-7391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAIGLE",
"first_name": "KANE",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-06",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": "ATH.200465",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETIC TRAINER CERTIFICATION",
"identifier": "ATH.200465",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vevay, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.