Lanette E Glass Kitchiner

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

8313 Brixham CT
Antelope, CA 95843-4564

Phone

(352) 425-4782

NPI assigned

Sep 2, 2021

Last updated

Sep 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

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": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1639847783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8313 BRIXHAM CT",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958434564",
            "telephone_number": "352-425-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8313 BRIXHAM CT",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958434564",
            "telephone_number": "352-425-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS KITCHINER",
        "first_name": "LANETTE",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rex Anthony Gamoke, PHARMD
• Lesli Garland
• Viorel Gheorghita, OWNER
• Molly Kaur Gill
• Randi Gilmore, RN
• Patricia Grady, PHD
• Ryan Gray
• Ella Gritsak
• Nataliya Gritsyuk
• H.R Elite LLC

• Athletic Trainer in Antelope, CA
• Providers in Antelope, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.