Individual provider Active NPI

Kyra Collins, ATC, LAT

  • Athletic Trainer
  • North Kingstown, RI
National Provider Identifier
1346952108
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT00340 Issued in RI
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

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
AT00340RIMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.