Active NPI
Kaylin Elaine Cox
- Athletic Trainer
- West Bend, WI
National Provider Identifier
1881152130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2455
- Practice address
- 5175 Pinecrest CT
West Bend, WI 53095-9303 - Phone
- (262) 305-3471
- NPI assigned
- Mar 6, 2019
- Last updated
- Sep 13, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2455 | WI | Primary |
Addresses
Primary practice location
5175 Pinecrest CT
West Bend, WI 53095-9303
Mailing address
5175 Pinecrest CT
West Bend, WI 53095-9303
Phone (262) 305-3471
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 |
|---|---|---|---|
| 2455 | WI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1881152130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5175 PINECREST CT",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530959303",
"telephone_number": "262-305-3471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5175 PINECREST CT",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530959303",
"telephone_number": "262-305-3471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COX",
"first_name": "KAYLIN",
"middle_name": "ELAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-06",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "2455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.