MS. KAYLA WINCKO (NPI# 1316474331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316474331 |
| Entity Type | Individual |
| Full Name | MS. KAYLA WINCKO |
| Credential | ATC |
| Practice Address |
305 Wisteria St Ruston LA 71272-0001 |
| Mailing Address |
4744 Nw 5th Pl Coconut Creek FL 33063-6742 |
| Practice Telephone | 9548645007 |
| Mailing Telephone | 9548645007 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS | 22 | 01 |
| Street Address |
305 WISTERIA ST |
| City | RUSTON |
| State | LA |
| Zip Code | 71272-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538374400 | Kerrilyn Phillips | Speech-Language Pathologist | 305 Wisteria St, Ruston, LA 71272-0001 | 2007-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174052443 | Byron Pottorff | Specialist/Technologist | 1450 West Alabama, Ruston, LA 71272 | 2017-06-08 |
| 1043749336 | Adrianne Marie Bosworth | Specialist/Technologist | 1450 West Alabama Avenue, Ruston, LA 71272 | 2017-06-08 |
| 1588036651 | Roberto Cardona | Specialist/Technologist | 1450 W. Alabama, Ruston, LA 71272 | 2015-10-28 |
| 1780056069 | Jill Hancock | Specialist/Technologist | 1450 W Alabama, Ruston, LA 71272-0001 | 2015-10-26 |
| 1407971948 | Sheryl Stokes Shoemaker | Audiologist | 306 Robinson Hall, Ruston, LA 71272-0001 | 2007-03-21 |
| 1356466361 | Larry Keith Henrickson | Audiologist | La Tech University Speech Hearing Ctr, Robinson Hall - Room 218, Ruston, LA 71272-0001 | 2007-03-20 |
| 1114041605 | Christina Renee Madix | Speech-Language Pathologist | 120 Robinson Hall, Ruston, LA 71272-0001 | 2007-03-19 |
| 1457551723 | Louisiana Tech University | Audiologist | 120 Robinson Hall, Ruston, LA 71272-0001 | 2007-07-24 |
| 1447376470 | Matthew Dean Bryan | Audiologist | 120 Robinson Hall, Ruston, LA 71272-0001 | 2007-03-21 |
| 1619092137 | Steven Glen Madix | Audiologist | 120 Robinson Hall, Ruston, LA 71272-0001 | 2007-03-21 |
| Find all providers in zip 71272 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
| 1174052443 | Byron Pottorff | Specialist/Technologist | 1450 West Alabama, Ruston, LA 71272 | 2017-06-08 |
| 1043749336 | Adrianne Marie Bosworth | Specialist/Technologist | 1450 West Alabama Avenue, Ruston, LA 71272 | 2017-06-08 |
| 1508226002 | Christopher Watson | Specialist/Technologist | 1408 Tech Farm Rd, Apt C-6, Ruston, LA 71270-5462 | 2016-02-26 |
| 1548625130 | William Word | Specialist/Technologist | 306 W. Louisiana Ave. #8, Ruston, LA 71270 | 2015-12-23 |
| 1063887610 | Taylor Nugent I | Specialist/Technologist | 217 Penny Ln, Ruston, LA 71270-4166 | 2015-12-08 |
| 1760855688 | Justin Wheeler | Specialist/Technologist | 1450 W Alabama Ave, Ruston, LA 71272-2711 | 2015-11-02 |
| 1588036651 | Roberto Cardona | Specialist/Technologist | 1450 W. Alabama, Ruston, LA 71272 | 2015-10-28 |
| 1780056069 | Jill Hancock | Specialist/Technologist | 1450 W Alabama, Ruston, LA 71272-0001 | 2015-10-26 |
| 1124574702 | Brittany Luttrell | Specialist/Technologist | 1450 W Alabama Ave, Ruston, LA 71270 | 2016-09-01 |
| Find all providers in RUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.