Active NPI
Kayla B Schneider, LAT, ATC
- Specialist
- Appleton, WI
National Provider Identifier
1881077295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1460-39
- Practice address
- 2105 E Enterprise Ave Ste 113
Appleton, WI 54913-7862 - Phone
- (920) 991-2561
- NPI assigned
- Jul 2, 2015
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1460-39 | WI | Primary |
Addresses
Primary practice location
2105 E Enterprise Ave Ste 113
Appleton, WI 54913-7862
Mailing address
2105 E Enterprise Ave Ste 113
Appleton, WI 54913-7862
Phone (920) 991-2561
Other names 1
- Kayla B Allred
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 |
|---|---|---|---|
| 1460-39 | WI | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1881077295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 E ENTERPRISE AVE STE 113",
"city": "APPLETON",
"state": "WI",
"postal_code": "549137862",
"telephone_number": "920-991-2561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 E ENTERPRISE AVE STE 113",
"city": "APPLETON",
"state": "WI",
"postal_code": "549137862",
"telephone_number": "920-991-2561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "KAYLA",
"middle_name": "B",
"credential": "LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-02",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WI",
"license": "1460-39",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAYLA",
"last_name": "ALLRED",
"middle_name": "B",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.