Kaylee Elizabeth Hogard, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2539 Issued in TN

Practice address

207 Old Jacksboro Pike Apt a
Cumberland Gap, TN 37724-4499

Phone

(573) 645-2174

NPI assigned

Mar 6, 2019

Last updated

May 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1972061265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 OLD JACKSBORO PIKE APT A",
            "city": "CUMBERLAND GAP",
            "state": "TN",
            "postal_code": "377244499",
            "telephone_number": "573-645-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 OLD JACKSBORO PIKE APT A",
            "city": "CUMBERLAND GAP",
            "state": "TN",
            "postal_code": "377244499",
            "telephone_number": "573-645-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGARD",
        "first_name": "KAYLEE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "2539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Cumberland Gap, TN
• Providers in Cumberland Gap, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.