KYLE LANCON (NPI# 1164914693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164914693 |
| Entity Type | Individual |
| Full Name | KYLE LANCON |
| Practice Address |
201 W Gloria Switch Rd Lafayette LA 70507-2590 |
| Mailing Address |
4219 Decon Rd Youngsville LA 70592-6022 |
| Practice Telephone | 3372338080 |
| Mailing Telephone | 3373226612 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
ATH.200258 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NATA/BOC | 2000008031 | 01 | |
| LSBME | ATH.200258 | 01 |
| Street Address |
201 W GLORIA SWITCH RD |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70507-2590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487658274 | Brian K Granger | Family Medicine | 201 W Gloria Switch Rd, Suite I, Lafayette, LA 70507-2590 | 2005-06-09 |
| 1174014583 | Spencer Paul Sonnier | Specialist/Technologist | 201 W Gloria Switch Rd, Lafayette, LA 70507-2590 | 2018-05-21 |
| 1942361951 | Brian K. Granger M.d., Apmc | Family Medicine | 201 W Gloria Switch Rd, Suite I, Lafayette, LA 70507-2590 | 2006-12-13 |
| 1881668705 | Scot Alan Jones | Physical Therapist | 201 W Gloria Switch Rd, Suite H, Lafayette, LA 70507-2590 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043724107 | Danielle Bias | Counselor | 106 Smalley Rd, Lafayette, LA 70507 | 2017-11-28 |
| 1720505076 | Amy C Rochon | Counselor | 315 Amesbury Drive, Apt 292, Lafayette, LA 70507 | 2017-08-28 |
| 1174045504 | Mia Collins | Case Manager/Care Coordinator | 315 Amesbury Dr Apt 357, Lafayette, LA 70507 | 2017-07-07 |
| 1942739792 | Precious Charles | Counselor | 200 Buttercup Dr Apt 613, Lafayette, LA 70507 | 2017-06-06 |
| 1346633831 | Minute Med Clinic - Pont De Mouton LLC | Clinic/Center | 104 Banister Court, Suite 1c, Lafayette, LA 70507 | 2015-03-09 |
| 1134559578 | Britt Elliott Martin | Pharmacist | 920 West Gloria Switch Road, Lafayette, LA 70507 | 2013-11-21 |
| 1801130877 | Barney Joseph Fusilier Jr. | Pharmacist | 920 W. Gloria Switch Rd., Walgreens, Lafayette, LA 70507 | 2012-11-15 |
| 1508140773 | Joseph Kenneth Vizena | Pharmacist | 3754 Moss Street, Lafayette, LA 70507 | 2011-10-05 |
| 1629177399 | Kevin Lyle Francois | Pharmacist | 3803-f Moss St, Lafayette, LA 70507 | 2006-09-21 |
| 1821024563 | Vermilion Hospital LLC | Psychiatric Hospital | 2520 N. University Ave, Lafayette, LA 70507 | 2006-06-24 |
| Find all providers in zip 70507 | ||||
| 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 |
|---|---|---|---|---|
| 1336755495 | Kevin Keys | Specialist/Technologist | 106 Tomahawk Dr, Lafayette, LA 70503-6606 | 2020-09-23 |
| 1437767548 | Logan Marks | Specialist/Technologist | 118 Barnett Ct, Lafayette, LA 70507-2764 | 2020-07-15 |
| 1407491491 | Elizabeth Thomason | Specialist/Technologist | 1212 Jeanne St, Lafayette, LA 70506-2418 | 2019-11-13 |
| 1396203782 | Curtis Teseo Park | Specialist/Technologist | 3310 Moraga Blvd, Lafayette, CA 94549-4614 | 2019-03-05 |
| 1720552730 | Courtney Halsell | Specialist/Technologist | 103 Oak Hollow Dr, Lafayette, LA 70508-5189 | 2019-01-14 |
| 1124511290 | Isaac Chang | Specialist/Technologist | 3074 Pheasant Run Dr Apt 1122, Lafayette, IN 47909-3335 | 2018-06-12 |
| 1497246201 | Katelyn Brewer Rice | Specialist/Technologist | 201 W Gloria Switch Rd Ste H, Lafayette, LA 70507-2590 | 2018-05-29 |
| 1891286753 | Terry R. Kimball | Specialist/Technologist | 110 Kimball Dr, Lafayette, LA 70508-7802 | 2018-05-25 |
| 1902397599 | Daniel Delgado | Specialist/Technologist | 2101 S 18th St, Lafayette, IN 47905-2014 | 2018-05-20 |
| 1174047211 | Chloe Christina Salway | Specialist/Technologist | 2410 S 9th St, Lafayette, IN 47909-2404 | 2017-07-31 |
| Find all providers in LAFAYETTE | ||||
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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.