Kathleen Yvette Gallais, LAT, ATC, NREMT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

808-18 Issued in ND

Practice address

1300 17TH Ave N
Fargo, ND 58102

Phone

(701) 231-6378

NPI assigned

Jun 17, 2019

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

State licenses

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1992365498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 30TH AVE S APT 301",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047755",
            "telephone_number": "701-630-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 17TH AVE N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58102",
            "telephone_number": "701-231-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAIS",
        "first_name": "KATHLEEN",
        "middle_name": "YVETTE",
        "name_prefix": "Miss",
        "credential": "LAT, ATC, NREMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "ND",
            "license": "E3446979",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ND",
            "license": "808-18",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Gaffaney, PT, DPT
• Jane Charlotte Gaffrey, D.O.
• Rebecca Gaikowski, OTD, OTR/L
• Kathryn Gallagher, LISWS
• Jason Matthew Gallaher, PEER SPECIALIST
• Sabha Ganai, MD, PHD, MPH, FACS
• Kara Gange, PHD, ATC
• Desirae Ganje
• Jonna Leigh Ganje, APRN,CNP
• Elise Gapp, OTD/OTR/L

• Athletic Trainer in Fargo, ND
• Providers in Fargo, ND by specialty
• Athletic Trainer in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.