Kaitlyn Alexandra Miles, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

LAT-3110 Issued in NC

Practice address

200 Hawthorne LN
Charlotte, NC 28204

Phone

(336) 516-7420

NPI assigned

Jan 6, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1477919413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 TIGER LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621124",
            "telephone_number": "336-516-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWTHORNE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "336-516-7420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Cobb Ave NW",
            "address_2": "MB 0201",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301445563",
            "country_code": "US",
            "telephone_number": "470-578-2104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "KAITLYN",
        "middle_name": "ALEXANDRA",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT002545",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-3110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Edward Milbourn, MD
• Rachel Milbourn, LCSWA
• Kathryn Finch Mileham, MD
• Daniel B Miles, LPCA
• Jamie Lynn Miles
• Mary Purcell Miles, NP
• Matthew John Miles, D.O.
• Rollis Mark Miles III, LPCA
• Socorro Miles, MSW, LCSW
• Steven Miles

• Athletic Trainer in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.