Kaitlyn Rose Niemer, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1845 Fairmount St
Wichita, KS 67260-9700

Phone

(630) 536-6263

NPI assigned

Jul 21, 2022

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437884699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2859 N BOULDER DR APT 21",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672263152",
            "telephone_number": "630-536-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 FAIRMOUNT ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672609700",
            "telephone_number": "630-536-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMER",
        "first_name": "KAITLYN",
        "middle_name": "ROSE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark J Niederee, MD
• Myra K Niederee, SLP
• Mary L Nielsen, M.D.
• Pamela Paige Nielsen
• Jayne Ann Niemann, BSN RN CNN
• Kaytlin Nierman
• Avery Margaret Niernberger, LPC
• Gerald E Niernberger, DO
• Nikol Flynn, DDS, LLC
• Mary Nikoula

• Athletic Trainer in Wichita, KS
• Providers in Wichita, KS by specialty
• Athletic Trainer in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.