Active NPI
Kylee Kincaid, MSAT, LAT, ATC
- Athletic Trainer
- Ogden, UT
National Provider Identifier
1679344055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1161275
- Practice address
- 863 E Village Rd
Ogden, UT 84404-3889 - Phone
- (801) 458-0977
- NPI assigned
- Jan 12, 2024
- 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 | 1161275 | ID | Primary |
Addresses
Primary practice location
863 E Village Rd
Ogden, UT 84404-3889
Mailing address
863 E Village Rd
Ogden, UT 84404-3889
Phone (801) 458-0977
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1161275 | ID | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1679344055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "863 E VILLAGE RD",
"city": "OGDEN",
"state": "UT",
"postal_code": "844043889",
"telephone_number": "801-458-0977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "863 E VILLAGE RD",
"city": "OGDEN",
"state": "UT",
"postal_code": "844043889",
"telephone_number": "801-458-0977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINCAID",
"first_name": "KYLEE",
"credential": "MSAT, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-12",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "ID",
"license": "1161275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.