Kaylee A Hermansen

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

N8606 Hay Hollow Rd
Blanchardville, WI 53516-9647

Phone

(608) 576-0310

NPI assigned

Apr 28, 2022

Sex

Female

Sole proprietor

Yes

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": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1639814262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N8606 HAY HOLLOW RD",
            "city": "BLANCHARDVILLE",
            "state": "WI",
            "postal_code": "535169647",
            "telephone_number": "608-576-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N8606 HAY HOLLOW RD",
            "city": "BLANCHARDVILLE",
            "state": "WI",
            "postal_code": "535169647",
            "telephone_number": "608-576-0310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7250 Perkins Rd Apt 1121",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708080300",
            "country_code": "US",
            "telephone_number": "608-576-0310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 Jessamine Ave W Apt 201",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551082637",
            "country_code": "US",
            "telephone_number": "608-576-0310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMANSEN",
        "first_name": "KAYLEE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Kate Anderson
• Alexandria Beam, MS, CCC-SLP
• Blanchardville Chiropractic Clinic, SC
• Melissa Jane Durst, MS CCC-SLP
• Peggy Suzanne Hines, M.S. ED., LPC
• Nancy G. Johnson, LCSW SAC
• Vicki Lynn Krenz
• Jennifer Juna Kay Morris, RN
• Loreen L Oehlhof, MS

• Athletic Trainer in Blanchardville, WI
• Providers in Blanchardville, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.