NICOLE LYNN BALDERSTON MS, LAT, ATC
NPI 1205532819
Specialist/Technologist - Athletic Trainer in Kansas City, MO

Q: What is Nicole Balderston's NPI number?

The NPI number for Nicole Balderston is 1205532819. It was assigned to this individual provider in the NPPES registry on February 6, 2023.

Q: What is Nicole Balderston's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Balderston was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since February 06, 2023

1950 DIAMOND PKWY, KANSAS CITY, MO 64116(816) 561-3003 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicole Lynn Balderston Ms, Lat, Atc NPPES

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

NICOLE LYNN BALDERSTON MS, LAT, ATC (NPI 1205532819) is an individual athletic trainer provider in Kansas City, Missouri, licensed in Kansas (24-01454) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1205532819

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameNICOLE LYNN BALDERSTONCredential: MS, LAT, ATC

Location Address1950 DIAMOND PKWYKansas City, MO 64116-4328

Mailing Address5625 W 134th Pl Apt 2037Overland Park, KS 66209-4064 · (785) 819-1129

Phone(816) 561-3003

Sole ProprietorNo

Enumeration DateFebruary 6, 2023

NPPES CertifiedFebruary 5, 2023

✔ NPI 1205532819 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 KS · 24-01454✔ Licensed in MO · 2019032463

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.

1950 DIAMOND PKWY, Kansas City, MO 64116

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Other Identifiers 3

Other2019032463MO · At Lincense

Other24-01454KS · At License

Other2000015152Nata Boc

Other Providers at the Same Location NPPES 13

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

MR. ADAM COLE ASHBY NP

Nurse Practitioner

1950 DIAMOND PKWY
KANSAS CITY, MO 64116

Clay County (573) 645-8863

KELSEY REID

Nurse Practitioner

1950 DIAMOND PKWY
KANSAS CITY, MO 64116

Clay County (816) 561-3003

ALISON JOHNSON RN, BSN, MSN, NP-C

Nurse Practitioner (Family)