Active NPI
Virginia Kyle Johns, MS, LAT, ATC
- Athletic Trainer
- Greensboro, NC
National Provider Identifier
1649777475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT-4357
- Practice address
- 815 W Market St
Greensboro, NC 27401-1875 - Phone
- (336) 272-7102
- NPI assigned
- Apr 9, 2018
- 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 | LAT-4357 | NC | Primary |
Addresses
Primary practice location
815 W Market St
Greensboro, NC 27401-1875
Mailing address
615 W 32ND St
Richmond, VA 23225-3439
Other practice location 1
1300 Weeping Willow Dr Apt L
Lynchburg, VA 24501-4059
Phone (804) 335-9949
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 |
|---|---|---|---|
| LAT-4357 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1649777475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 W 32ND ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232253439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 W MARKET ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011875",
"telephone_number": "336-272-7102"
}
],
"practiceLocations": [
{
"address_1": "1300 Weeping Willow Dr Apt L",
"address_purpose": "LOCATION",
"city": "Lynchburg",
"state": "VA",
"postal_code": "245014059",
"country_code": "US",
"telephone_number": "804-335-9949",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNS",
"first_name": "VIRGINIA",
"middle_name": "KYLE",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-09",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-4357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.