Kathryn Claire Ryan, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT6194 Issued in TX

Practice address

266 SH 150
New Waverly, TX 77358

Phone

(651) 398-0254

NPI assigned

May 10, 2017

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

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1699201863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 SH 150",
            "city": "NEW WAVERLY",
            "state": "TX",
            "postal_code": "77358",
            "telephone_number": "651-398-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 SH 150",
            "city": "NEW WAVERLY",
            "state": "TX",
            "postal_code": "77358",
            "telephone_number": "651-398-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "KATHRYN",
        "middle_name": "CLAIRE",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT6194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Lynn Mature
• Marianito Militante Militante
• Taryn Leigh Moore, ATC, LAT
• New Waverly Isd
• New Waverly Wellness Clinic
• Ryzolve LLC
• Jesse Schneringer, D.C.
• Sugarfruit Properties, LLC
• The Raven School Gulf Coast Trade Center
• Waverly Primary Care, PLLC

• Athletic Trainer in New Waverly, TX
• Providers in New Waverly, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.