Cheyenne Lisle, BS, MD
Individual provider Active NPI Athletic Trainer · North Newton, KS
NPI 1407714686 · NPPES record last updated Jan 14, 2026
Key facts
- NPI
- 1407714686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 24-01879 (KS)
- Practice address
- 300 E 27TH St
North Newton, KS 67117-1716 - Phone
- (316) 283-2500
- NPI assigned
- Jan 14, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24-01879 | KS | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 24-01879 | KS | Yes |
Addresses
Primary practice location
300 E 27TH St
North Newton, KS 67117-1716
Mailing address
820 W Burton St Apt 2203
Wichita, KS 67213-5555
Other providers in North Newton, KS
- Marilyn Jane Harrold
- Christopher Ibach
- Samantha Rae Jennings
- Kidron Bethel Retirement Services, Inc.
- Drannon Wayne Lenox
- Lindsa Luinstra
- Sonday Joy Clark McGinnis
- Ashley Nicole Moseley
- Colleen Nelson
- Jerri K. Parsons
All providers in North Newton, KS · Athletic Trainer in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.