Kathryn Angelle Resweber, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

200478 Issued in LA

Practice address

816 Harding St
Lafayette, LA 70503-2320

Phone

(337) 232-3111

Fax

(337) 232-5400

NPI assigned

May 29, 2018

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1831680628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 HARDING ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032320",
            "telephone_number": "337-232-3111",
            "fax_number": "337-232-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 HARDING ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032320",
            "telephone_number": "337-232-3111",
            "fax_number": "337-232-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESWEBER",
        "first_name": "KATHRYN",
        "middle_name": "ANGELLE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "LA",
            "license": "200478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER NATIONAL CERTIFICATION",
            "identifier": "BOC297444",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA ATHLETIC TRAINING",
            "identifier": "ATH200478",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rescare, Inc.
• Rescare, Inc.
• Resource Management Services of St. Landry, LLC
• Restoral Dental Implants, LLC
• Restore Physical Therapy and Wellness LLC
• Peter John Resweber, PH.D.
• Revive Psychiatric Services, LLC
• Revived and Renewed Mental Health, LLC
• Dana Rey, HIS
• Reynold L Gaubert DMD

• Athletic Trainer in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Athletic Trainer in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.