KAITLYN NICOLE EDISON
NPI 1104388958
Specialist/Technologist - Athletic Trainer in Saint Charles, MO

Active since April 02, 2019
2549 HACKMANN RD, SAINT CHARLES, MO 63303(636) 851-4900 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2025, Nov 13, 2024, Apr 2, 2019 (3 updates tracked since 2019).

About Kaitlyn Nicole Edison NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLYN NICOLE EDISON (NPI 1104388958) is an individual athletic trainer provider in Saint Charles, Missouri, licensed in Missouri (2020035528) and active in the NPI registry since April 2019. She maintains a secondary practice location in Saint Charles.

NPPES Registry Identity

NPI1104388958
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameKAITLYN NICOLE EDISON
Location Address2549 HACKMANN RDSaint Charles, MO 63303-5452
Mailing Address10717 Saint Bernard LnSaint Ann, MO 63074-2519 · (314) 625-1802
Sole ProprietorNo
Enumeration DateApril 2, 2019
Last NPPES UpdateJune 18, 20253 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
NPI 1104388958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Licenses Licensed in MO · 2020035528 Licensed in IL · 096005299
Definition
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.
2549 HACKMANN RD, Saint Charles, MO 63303

Secondary Practice Location 1

Location 12053 Zumbehl RdSaint Charles, MO 63303-2723 · Phone (636) 940-2900

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
2549 HACKMANN RD
SAINT CHARLES, MO 63303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlyn Edison's NPI number?

The NPI number for Kaitlyn Edison is 1104388958. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Kaitlyn Edison located?

Kaitlyn Edison practices at 2549 Hackmann Rd, Saint Charles, MO 63303. The listed phone number is (636) 851-4900.

What is Kaitlyn Edison's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Kaitlyn Edison was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.