Kasey Catherine Silligman
Individual provider Active NPI Athletic Trainer · Vernalis, CA
NPI 1679355457 · NPPES record last updated Oct 17, 2023
Key facts
- NPI
- 1679355457
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 2142A Orchard Rd
Vernalis, CA 95385-9704 - Phone
- (209) 914-5680
- NPI assigned
- Oct 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
2142A Orchard Rd
Vernalis, CA 95385-9704
Mailing address
2142A Orchard Rd
Vernalis, CA 95385-9704
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.