Kelsey Joan Evins, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A160969833 Issued in WA

Practice address

121 N Division St Ste 310
Auburn, WA 98001-4931

Phone

(253) 545-5978

NPI assigned

Jul 15, 2022

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 3

Other names 1

• Kelsey Joan Johnston, Gorbett Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1912631763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 OFARRELL LN NW",
            "city": "ORTING",
            "state": "WA",
            "postal_code": "983607418",
            "telephone_number": "541-379-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N DIVISION ST STE 310",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980014931",
            "telephone_number": "253-545-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVINS",
        "first_name": "KELSEY",
        "middle_name": "JOAN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "A160969833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATA",
            "identifier": "73575",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WASHINGTON LICENSE",
            "identifier": "A160969833",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION NUMBER-BOC",
            "identifier": "2000028155",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kevins@multicare.org",
            "affiliation": "N",
            "endpointDescription": "Multicare Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "121 N Division St Ste 310",
            "city": "Auburn",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980014931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "JOHNSTON, GORBETT",
            "middle_name": "JOAN",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tanja D Evans, M.D.
• Cidney Jordan Evanson
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• Evergreen Psychiatry PLLC
• Evergreen Washington Healthcare Auburn, L.L.C.
• Extendicare North Auburn Rehabilitation
• Sherese Danielle Ezelle
• Vinesa Faaogea-Kabui
• Emily Faber
• Sarah Faison

• Athletic Trainer in Auburn, WA
• Providers in Auburn, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.