McKaleb Pool

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

10777 Grafton PL NW
Silverdale, WA 98383-8941

Phone

(360) 731-3131

NPI assigned

May 31, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1590883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590883200000",
    "number": "1437773033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10777 GRAFTON PL NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838941",
            "telephone_number": "360-731-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10777 GRAFTON PL NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838941",
            "telephone_number": "360-731-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOL",
        "first_name": "MCKALEB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-31",
        "last_updated": "2020-05-31",
        "certification_date": "2020-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "948664456",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "10777 Grafton Pl NW",
            "city": "Silverdale",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983838941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erica Nicole Pogue, FNP-C
• Matthew Poinsett, PH.D
• Matthew A Pollard, DDS
• Kara Polo, RN
• Harry Pong
• Rowena Belle Portch, LMP, LAMP
• Ellen Raquel Powell
• Heather Powell, PHARMD
• Miranda Powell
• Steven David Powell, MA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2020; 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.