Kresta L Bosley, MS ATC LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

24-00524

Practice address

2100 W University Ave
Wichita, KS 67213-3379

Phone

(316) 295-5419

Fax

(316) 295-5030

NPI assigned

Jan 10, 2012

Last updated

Jan 10, 2012By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1710257530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W UNIVERSITY AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672133379",
            "telephone_number": "316-295-5419",
            "fax_number": "316-295-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W UNIVERSITY AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672133379",
            "telephone_number": "316-295-5419",
            "fax_number": "316-295-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSLEY",
        "first_name": "KRESTA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MS ATC LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": "24-00524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey E Bosanco, CRNA
• Shanell Bosch, AGACNP-BC
• Janet Boschert Boschert, OD
• Michael S Bosh, MD
• Trisha L Bosken, SLP
• Autumn Boss, LMSW
• Abigail Boswell
• Maged Botros, MD
• Tiffany Bouddhara, MD
• Emily Ann Boughton, LPC

• Athletic Trainer in Wichita, KS
• Providers in Wichita, KS by specialty
• Athletic Trainer in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.