Nicole Lynn Balderston, MS, LAT, ATC
NPI 1205532819ActiveIndividual· Specialist/Technologist, Athletic Trainer· Kansas City, MO
Specialist/Technologist, Athletic Trainer (MS, LAT, ATC) in Kansas City, Missouri, licensed in KS and MO, with an NPI issued in February 2023.
Overview
| NPI | 1205532819 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, LAT, ATC |
| Sole proprietor | No |
| NPI issued | Feb 6, 2023 |
| Last updated in NPPES | Feb 6, 2023 |
| Certified by provider | Feb 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Athletic Trainer Primary | 2255A2300X | 24-01454 | KS |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | 2019032463 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Specialist/Technologist, Athletic Trainer providers in Kansas City
- 1639047210
- 1851799613
- 1679118079
- 1457371593
- 1598174450
- 1477542348
- 1720918808
- 1245975366
- 1073177804
- 1275077737
- 1588128565
- 1801361316
All Specialist/Technologist, Athletic Trainer providers in Missouri →