Karlyse Thomas, L.A.T., A.T.C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

797 Issued in OK

Practice address

323 West Eagle Blvd
Goodwell, OK 73939

Phone

(580) 349-1338

Fax

(580) 349-1419

NPI assigned

Jan 12, 2016

Last updated

Jan 12, 2016By 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 1

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": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1992161509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 WEST EAGLE BLVD",
            "address_2": "PO BOX 430",
            "city": "GOODWELL",
            "state": "OK",
            "postal_code": "73939",
            "telephone_number": "580-349-1338",
            "fax_number": "580-349-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 WEST EAGLE BLVD",
            "city": "GOODWELL",
            "state": "OK",
            "postal_code": "73939",
            "telephone_number": "580-349-1338",
            "fax_number": "580-349-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KARLYSE",
        "credential": "L.A.T., A.T.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OK",
            "license": "797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goodwell Public Schools
• Brian Keith Lankford, MS, ATC, LAT
• Darrius John McCall, ACT
• Oklahoma Panhandle State University (OKPSU Sports Medicine)
• Jaebin Shim, MSED, ATC, CSCS
• Town of Goodwell (Goodwell Ambulance Service)

• Athletic Trainer in Goodwell, OK
• Providers in Goodwell, OK by specialty
• Athletic Trainer in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.