Kaitlynn Elizabeth Rios, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT6631 Issued in TX

Practice address

17001 Addison Rd
Addison, TX 75001-5096

Phone

(972) 931-8214

NPI assigned

Nov 15, 2019

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

Electronic endpoints 1

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": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1609411446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 COLLIN MCKINNEY PKWY APT 3306",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705285",
            "telephone_number": "615-785-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17001 ADDISON RD",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750015096",
            "telephone_number": "972-931-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS",
        "first_name": "KAITLYNN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT6631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krios@trinitychristian.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "17001 Addison Rd",
            "city": "Addison",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750015096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Athletic Trainer in Addison, TX
• Providers in Addison, TX by specialty
• Athletic Trainer in Texas

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