Kaitlin Rose Griego, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2227 Issued in NC

Practice address

1115 Brooks St
Seymour Johnson Air Force Base
Goldsboro, NC 27531

Phone

(919) 722-4532

NPI assigned

Mar 4, 2014

Last updated

Aug 17, 2021By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1386069086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 W NEW HOPE RD APT A5",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275347587",
            "telephone_number": "609-290-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 BROOKS ST",
            "address_2": "SEYMOUR JOHNSON AIR FORCE BASE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "27531",
            "telephone_number": "919-722-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIEGO",
        "first_name": "KAITLIN",
        "middle_name": "ROSE",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2021-08-17",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "2227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Meares Green Jr.
• Thurston P Greenwood, D.D.S.
• Charles Eli Gregg, MD
• Charlotte Gregory-Mitchell, CBRS TEACHER
• Richard Kyle Grey, PA
• Christopher P Griffin, MD
• Wendy J Griffin, MS,CCC-A
• Growth, LLC
• Marian W Gudger, P.A.
• Ellane Guiao

• Athletic Trainer in Goldsboro, NC
• Providers in Goldsboro, 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 Aug 17, 2021; 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.