Active NPI
Kyra Collins, ATC, LAT
- Athletic Trainer
- North Kingstown, RI
National Provider Identifier
1346952108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT00340
- Practice address
- 76 Regent Dr
North Kingstown, RI 02852-3114 - Phone
- (401) 855-1197
- NPI assigned
- Dec 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | AT00340 | RI | Primary |
Addresses
Primary practice location
76 Regent Dr
North Kingstown, RI 02852-3114
Mailing address
76 Regent Dr
North Kingstown, RI 02852-3114
Phone (401) 855-1197
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kyracollins@wellworkforce.com | Direct | Fit for Work LLC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AT00340 | RI | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fit for Work LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Schertz, TX
- NPI 1053321661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1346952108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 REGENT DR",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "028523114",
"telephone_number": "401-855-1197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 REGENT DR",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "028523114",
"telephone_number": "401-855-1197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "KYRA",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-22",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "RI",
"license": "AT00340",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kyracollins@wellworkforce.com",
"affiliation": "Y",
"endpointDescription": "Work E-mail",
"affiliationName": "Fit for Work LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "E-mail",
"address_1": "17325 Bell North Drive",
"address_2": "Suite 2A",
"city": "Schertz",
"state": "TX",
"country_code": "US",
"postal_code": "78154",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in North Kingstown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.