MISS TAYLOR CAROLINE RUSSO MS ATC LAT - NPI 1972219582 - Specialist/Technologist in Boise, ID

Q: What is Taylor Russo's NPI number?

The NPI number for Taylor Russo is 1972219582. It was assigned to this individual provider in the NPPES registry on January 26, 2023.

Q: What is Taylor Russo'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 Taylor Russo was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

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About Miss Taylor Caroline Russo Ms Atc Lat NPPES

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

MISS TAYLOR CAROLINE RUSSO MS ATC LAT (NPI 1972219582) is an individual athletic trainer provider in Boise, Idaho, licensed in (2000023679) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1972219582

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameMISS TAYLOR CAROLINE RUSSOCredential: MS ATC LAT

Location Address2619 W FAIRVIEW AVEBoise, ID 83702-6722

Mailing Address6547 S Fairwind PlBoise, ID 83709-5064 · (713) 689-8442

Phone(208) 706-9419

Sole ProprietorYes

Enumeration DateJanuary 26, 2023

Last NPPES UpdateApril 29, 20263 updates tracked since enumeration

NPPES CertifiedApril 29, 2026

✔ NPI 1972219582 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 · 2000023679✔ Licensed in TX · AT7609

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.

2619 W FAIRVIEW AVE, Boise, ID 83702

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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.

JENNIFER LYNN RICE LAT, ATC

Specialist/Technologist (Athletic Trainer)