Kyla Alvarenga
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · McMinnville, OR
NPI 1962901686 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1962901686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 900 SE Baker St
McMinnville, OR 97128-6808 - Phone
- (503) 883-2622
- NPI assigned
- Feb 8, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
900 SE Baker St
McMinnville, OR 97128-6808
Mailing address
900 SE Baker St
McMinnville, OR 97128-6808
Other practice location 1
900 SE Baker st
mcminnville, OR 97128
Phone (206) 595-4400
Other practice location 2
900 SE Baker St
McMinnville, OR 97128-6808
Phone (503) 883-2622
Other practice location 3
900 Se baker st
McMinnville, OR 97128
Phone (503) 883-2622
NPI Registry JSON
{
"created_epoch": "1518048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1962901686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 SE BAKER ST",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971286808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 SE BAKER ST",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971286808",
"telephone_number": "503-883-2622"
}
],
"practiceLocations": [
{
"address_1": "900 SE Baker st",
"address_purpose": "LOCATION",
"city": "mcminnville",
"state": "OR",
"postal_code": "97128",
"country_code": "US",
"telephone_number": "206-595-4400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 SE Baker St",
"address_purpose": "LOCATION",
"city": "McMinnville",
"state": "OR",
"postal_code": "971286808",
"country_code": "US",
"telephone_number": "503-883-2622",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 Se baker st",
"address_purpose": "LOCATION",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "97128",
"country_code": "US",
"telephone_number": "503-883-2622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALVARENGA",
"first_name": "KYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McMinnville, OR
- Susie Margaret Alin
- Tabitha Linn Allbetter
- Karineh Anna Allen
- McKaylah Allen
- Alliance Healthcare Services Inc
- Chad Anthony Amodeo
- Beata Anasz-Kopecka
- Whitney J Anderson Gonzalez
- Duncan Anderson
- Kristina Renee Anderson
All providers in McMinnville, OR · Student in an Organized Health Care Education/Training Program in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.