Active NPI
Victoria Kalene Wilson, ATC
- Athletic Trainer
- Munster, IN
National Provider Identifier
1386134666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 801 Macarthur Blvd Ste 405
Munster, IN 46321-2919 - Phone
- (219) 836-4461
- NPI assigned
- May 13, 2018
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
801 Macarthur Blvd Ste 405
Munster, IN 46321-2919
Mailing address
13740 N Ayrshire Cir
Camby, IN 46113-9635
Phone (317) 292-2014
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526169600000",
"number": "1386134666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13740 N AYRSHIRE CIR",
"city": "CAMBY",
"state": "IN",
"postal_code": "461139635",
"telephone_number": "317-292-2014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 MACARTHUR BLVD STE 405",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212919",
"telephone_number": "219-836-4461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "VICTORIA",
"middle_name": "KALENE",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-13",
"last_updated": "2018-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.