Active NPI
Kailyn Lawlor, LAT, ATC
- Athletic Trainer
- Tuscaloosa, AL
National Provider Identifier
1841066933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2884
- Practice address
- 5501 Old Montgomery Hwy Apt 4122
Tuscaloosa, AL 35405-5057 - Phone
- (203) 560-2200
- NPI assigned
- Nov 29, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2884 | AL | Primary |
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | 2884 | AL |
Addresses
Primary practice location
5501 Old Montgomery Hwy Apt 4122
Tuscaloosa, AL 35405-5057
Mailing address
40 Patricia LN
Wolcott, CT 06716-1045
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 |
|---|---|---|---|
| 2884 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1841066933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 PATRICIA LN",
"city": "WOLCOTT",
"state": "CT",
"postal_code": "067161045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 OLD MONTGOMERY HWY APT 4122",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354055057",
"telephone_number": "203-560-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWLOR",
"first_name": "KAILYN",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-29",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "2884",
"primary": true
},
{
"code": "207PS0010X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Sports Medicine",
"state": "AL",
"license": "2884",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.