Kelsie Loreha Owen, ATC/L

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A160047338 Issued in WA

Practice address

1107 S 16TH Ave
Yakima, WA 98902-5331

Phone

(509) 574-6822

Fax

(509) 574-4732

NPI assigned

Apr 9, 2012

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": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1437415098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22520",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989072520",
            "telephone_number": "509-574-6822",
            "fax_number": "509-574-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S 16TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989025331",
            "telephone_number": "509-574-6822",
            "fax_number": "509-574-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "KELSIE",
        "middle_name": "LOREHA",
        "credential": "ATC/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "A160047338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Osborne, PSY.D.
• Chanel Florence Ostrem, DO
• Amanda J Ouellette, MC61594786
• Patrick T Overand, MD
• Isaac Overmiller
• Catherine Susanne Owings
• Shelbi N Owning, PT,DPT
• Maribella M Oyos
• Cassandra Bianca Pacheco, RDN
• Eduardo Pacheco

• Athletic Trainer in Yakima, WA
• Providers in Yakima, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.