Active NPI
Kendall McCauley, ATC
- Athletic Trainer
- Marysville, WA
National Provider Identifier
1609290055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT60047685
- Practice address
- 3719 88TH St NE
Ste a
Marysville, WA 98270-7228 - Phone
- (360) 659-9621
- NPI assigned
- Feb 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT60047685 | WA | Primary |
Addresses
Primary practice location
3719 88TH St NE
Ste a
Marysville, WA 98270-7228
Mailing address
3719 88TH St NE
Ste a
Marysville, WA 98270-7228
Phone (360) 659-9621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT60047685 | WA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391558400000",
"number": "1609290055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3719 88TH ST NE",
"address_2": "STE A",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982707228",
"telephone_number": "360-659-9621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3719 88TH ST NE",
"address_2": "STE A",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982707228",
"telephone_number": "360-659-9621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCAULEY",
"first_name": "KENDALL",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-05",
"last_updated": "2014-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WA",
"license": "AT60047685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marysville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.