Kaitlin Marie Ricklefs, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

3225 Issued in NC

Practice address

400 Atlantic Christian Col Dr NE
Wilson, NC 27893-2505

Phone

(252) 399-6363

Fax

(252) 399-6516

NPI assigned

Jan 9, 2018

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1366959538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5000",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278937000",
            "telephone_number": "515-835-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ATLANTIC CHRISTIAN COL DR NE",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932505",
            "telephone_number": "252-399-6363",
            "fax_number": "252-399-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKLEFS",
        "first_name": "KAITLIN",
        "middle_name": "MARIE",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "3225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard G. Langellotti, OD
• Richard N Randolph OD PA (the Vision Center of Wilson)
• Donald Richards-Smith, LCSW, LCAS
• Betsy Richards, FNP
• Monissa Lynn Richards, PMHNP
• Jordan Riddle, PA-C
• Right Prescription
• Deborah Rinehardt
• Rite Way Family Services
• Rizen Phoenix Consulting Agency, LLC

• Athletic Trainer in Wilson, NC
• Providers in Wilson, 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 Jan 9, 2018; 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.