Individual provider Active NPI

Kayla Christine Yates Khoury, MS, ATC, CEAS

  • Athletic Trainer
  • Denver, CO
National Provider Identifier
1922550227
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT.0000931 Issued in CO
Practice address
3801 Brighton Blvd
Wellness Center
Denver, CO 80216-3625
Phone
(303) 299-4528
NPI assigned
Nov 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT.0000931 CO Primary

Addresses

Primary practice location

3801 Brighton Blvd
Wellness Center
Denver, CO 80216-3625

Mailing address

5555 E Briarwood Ave Apt 2002
Centennial, CO 80122-4805
Phone (719) 289-5112

Other names 1

  • Miss Kayla Christine Yates Squires Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AT.0000931COMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1922550227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 E BRIARWOOD AVE APT 2002",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801224805",
            "telephone_number": "719-289-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BRIGHTON BLVD",
            "address_2": "WELLNESS CENTER",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802163625",
            "telephone_number": "303-299-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "KAYLA",
        "middle_name": "CHRISTINE YATES",
        "name_prefix": "Mrs.",
        "credential": "MS, ATC, CEAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-03",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "AT.0000931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "SQUIRES",
            "middle_name": "CHRISTINE YATES",
            "prefix": "MISS",
            "credential": "MS, ATC, CEAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.