Kayla Souve, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

005052 Issued in OH

Practice address

4405 Scenic Dr
Columbus, OH 43214-3040

Phone

(614) 365-6068

NPI assigned

Jul 18, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972910289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3069 DUBLIN ARBOR LN",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172053",
            "telephone_number": "937-474-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 SCENIC DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143040",
            "telephone_number": "614-365-6068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1051 Southern Dr",
            "address_2": "Apt 2706",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292015189",
            "country_code": "US",
            "telephone_number": "937-474-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUVE",
        "first_name": "KAYLA",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "005052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Lithotripsy
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• Southwestern Recovery Center, LLC
• Southwestern Recovery Center, LLC
• Terry Southwick, LPCC
• Jason Manuel Souza, MD
• Karen Souza
• Kennidy Rae Souza
• Sovewell, LLC
• Susanna Lynn Soviak, PA-C

• Athletic Trainer in Columbus, OH
• Providers in Columbus, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.