Active NPI
Kayla Ward, LAT, ATC, CSCS
- Athletic Trainer
- Woodland, WA
National Provider Identifier
1962890731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT-AT-10173381
- Practice address
- 1760 Down River Dr
Woodland, WA 98674-9699 - Phone
- (916) 316-5019
- NPI assigned
- Jan 2, 2015
- 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 | AT-AT-10173381 | OR | Primary |
Addresses
Primary practice location
1760 Down River Dr
Woodland, WA 98674-9699
Mailing address
1760 Down River Dr
Woodland, WA 98674-9699
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 |
|---|---|---|---|
| AT-AT-10173381 | OR | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629676800000",
"number": "1962890731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1760 DOWN RIVER DR",
"city": "WOODLAND",
"state": "WA",
"postal_code": "986749699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 DOWN RIVER DR",
"city": "WOODLAND",
"state": "WA",
"postal_code": "986749699",
"telephone_number": "916-316-5019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "KAYLA",
"name_prefix": "Mrs.",
"credential": "LAT, ATC, CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-02",
"last_updated": "2021-08-23",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OR",
"license": "AT-AT-10173381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.