NICOLE ANNE KANDRA ATC
NPI 1922478593
Specialist/Technologist - Athletic Trainer in Fort Wainwright, AK

Q: What is Nicole Kandra's NPI number?

The NPI number for Nicole Kandra is 1922478593. It was assigned to this individual provider in the NPPES registry on September 25, 2015.

Q: What is Nicole Kandra'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 Kandra was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 25, 2015

4076 NEELY RD, FORT WAINWRIGHT, AK 99703(907) 361-5172 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2026, Feb 4, 2026, Nov 19, 2025 (3 updates tracked since 2025).

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About Nicole Anne Kandra Atc NPPES

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

NICOLE ANNE KANDRA ATC (NPI 1922478593) is an individual athletic trainer provider in Fort Wainwright, Alaska, licensed in Alaska (251410) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1922478593

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameNICOLE ANNE KANDRACredential: ATC

Location Address4076 NEELY RDFort Wainwright, AK 99703

Mailing Address5623 Mason LnKlamath Falls, OR 97601-9379 · (541) 591-4719

Phone(907) 361-5172

Sole ProprietorNo

Enumeration DateSeptember 25, 2015

Last NPPES UpdateApril 8, 20263 updates tracked since enumeration

NPPES CertifiedApril 8, 2026

✔ NPI 1922478593 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 AK · 251410✔ Licensed in OR · AT-AT-10197732✔ Licensed in HI · 251✔ Licensed in WA · A160804654

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.

4076 NEELY RD, Fort Wainwright, AK 99703

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Other Providers at the Same Location NPPES 20

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

HEIDI RADMER CNM

Advanced Practice Midwife

4076 NEELY RD
FT WAINWRIGHT, AK 99703

Fairbanks North Star Borough (651) 233-3932

GINA TORRES DDS

Dentist

4076 NEELY RD
FT WAINWRIGHT, AK 99703

Fairbanks North Star Borough (907) 750-2955

MRS. KELLY JEAN PEREZ REGISTERED DIETITIAN

Dietitian, Registered

4076 NEELY RD
FT. WAINWRIGHT, AK 99703

Fairbanks North Star Borough (254) 495-5506

ROBERT FISHER

Licensed Practical Nurse

4076 NEELY RD, BASSETT ARMY COMMUNITY HOSPITAL INTERNAL MED CLINIC
FORT WAINWRIGHT, AK 99703

Fairbanks North Star Borough (907) 361-4179

ALEXANDER DANIEL BLAKE PA-C

Physician Assistant

4076 NEELY RD, RM 3C-404
FT. WAINWRIGHT, AK 99703

Fairbanks North Star Borough (907) 361-6028

STEPHANIE WINTER PA-C

Physician Assistant

4076 NEELY RD
FORT WAINWRIGHT, AK 99703

Fairbanks North Star Borough (907) 361-4000

NATHAN PAUL BASTIEN MD

General Practice

4076 NEELY RD
FT WAINWRIGHT, AK 99703

Fairbanks North Star Borough (907) 361-5172

MRS. LINDA YU MEYERS M.D.

Emergency Medicine

4076 NEELY RD
FORT WAINWRIGHT, AK 99703

Fairbanks North Star Borough (907) 361-5479

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 Nicole Kandra's NPI number?

The NPI number for Nicole Kandra is 1922478593. It was assigned to this individual provider in the NPPES registry on September 25, 2015.

Where is Nicole Kandra located?

Nicole Kandra practices at 4076 Neely Rd, Fort Wainwright, AK 99703. The listed phone number is (907) 361-5172.

What is Nicole Kandra'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 Nicole Kandra was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.