Active NPI
Leah Mae Kilchrist, ATC, LAT
- Athletic Trainer
- Kyle, TX
National Provider Identifier
1710591359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 7585
- Practice address
- 21195 Interstate 35
Kyle, TX 78640-6076 - Phone
- (512) 268-0000
- NPI assigned
- Sep 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 7585 | TX | Primary |
Addresses
Primary practice location
21195 Interstate 35
Kyle, TX 78640-6076
Mailing address
1703 N Ih 35 Apt 3G
San Marcos, TX 78666-6707
Phone (262) 751-2482
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 |
|---|---|---|---|
| 7585 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1710591359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1703 N IH 35 APT 3G",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786666707",
"telephone_number": "262-751-2482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21195 INTERSTATE 35",
"city": "KYLE",
"state": "TX",
"postal_code": "786406076",
"telephone_number": "512-268-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILCHRIST",
"first_name": "LEAH",
"middle_name": "MAE",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-01",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "7585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.