Kevin Patrick Haas, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

LAT-5374 Issued in NC

Practice address

2817 Reilly St
Fort Bragg, NC 28310-5856

Phone

(910) 907-6000

NPI assigned

Jul 22, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1346893070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 E MONROE ST APT A",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626097",
            "telephone_number": "336-671-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 REILLY ST",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283105856",
            "telephone_number": "910-907-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 S Broadway St",
            "address_purpose": "LOCATION",
            "city": "Pittsburg",
            "state": "KS",
            "postal_code": "667625856",
            "country_code": "US",
            "telephone_number": "336-671-9879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAAS",
        "first_name": "KEVIN",
        "middle_name": "PATRICK",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-22",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KS",
            "license": "2401395",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-5374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rathnayaka Mudiyanselage Kalpanee Dhanushika Gunasingha Bailey, MD
• Janet Ashley Gunter, PHARM.D.
• Vinita Gupta, M.D.
• Sasha Guslyayev, DO
• Ally Ha, MD
• Louis Karl Haase III, MD
• Bridgett Hackley, WHNP
• Nathan Allen Hackmann
• Veronica Lynn Hager, PHARMD
• Emily Lindsay Hairfield

• Athletic Trainer in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Athletic Trainer in North Carolina

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

Verify at the official NPI Registry.