Active NPI
Ronald Laylon Jr., MS, LAT, ATC
- Athletic Trainer
- Tacoma, WA
National Provider Identifier
1619618980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A161305038
- Practice address
- Fort Lewis Lancer Performance Center
11371 22ND St
Tacoma, WA 98433 - Phone
- (775) 240-0895
- NPI assigned
- Apr 2, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | A161305038 | WA | Primary |
Addresses
Primary practice location
Fort Lewis Lancer Performance Center
11371 22ND St
Tacoma, WA 98433
Mailing address
2195 Lenticular Dr
Sparks, NV 89441-4865
Phone (775) 240-0895
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A161305038 | WA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1619618980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2195 LENTICULAR DR",
"city": "SPARKS",
"state": "NV",
"postal_code": "894414865",
"telephone_number": "775-240-0895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FORT LEWIS LANCER PERFORMANCE CENTER",
"address_2": "11371 22ND ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "98433",
"telephone_number": "775-240-0895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAYLON",
"first_name": "RONALD",
"name_suffix": "Jr.",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-02",
"last_updated": "2022-08-11",
"certification_date": "2022-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WA",
"license": "A161305038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.