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Active NPI 1003479965 Individual Practitioner Female Practitioner

Katelynn Marie Walsh , MS, LAT, ATC, EMT

Specialist/Technologist - Athletic Trainer • Waconia, MN

Professional Overview & Biography Verified Profile Summary

Katelynn Walsh, MS, LAT, ATC, EMT is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Waconia, MN. Practice services are available at 560 S MAPLE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

560 S Maple St

Waconia, MN 553871733

Telephone 9528438505
Associated Practice Facility / Clinic
🏢 Western Ob/gyn Ltd Facility NPI 1093703316

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Waconia, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Waconia, MN (1033 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-23
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License MN 3359

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

8100 Northland Dr

Bloomington, MN 554314800

Phone: 9528318742

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Dr. David Eggert , MD

Orthopaedic Surgery - Sports Medicine

NPI 1003058496

Doctor of Medicine (M.D.)

Meghan Kolumbus , ATC

Specialist/Technologist - Athletic Trainer

NPI 1043636145

Certified Athletic Trainer

Dr. Scott Holthusen , MD

Orthopaedic Surgery - Foot and Ankle Surgery

NPI 1093924276

Doctor of Medicine (M.D.)

Sommer Vaughan , PA-C

Physician Assistant

NPI 1104932748

Physician Assistant (Certified)

Dr. Andraya Huldeen-Tibbetts , MD

Obstetrics & Gynecology

NPI 1144416728

Doctor of Medicine (M.D.)

Dr. Robert Barnett , MD

Orthopaedic Surgery

NPI 1164535308

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location March 23, 2023

Registered at 560 S MAPLE ST, WACONIA, MN 553871733 (Tel: 9528438505)

📍
Updated Business Mailing Address March 23, 2023

Registered at PO BOX 282, CARVER, MN 553150282 (Tel: 9528438505)

👤
Provider Name / Credentials Updated March 23, 2023

Recorded as KATELYNN WALSH, MS, LAT, ATC, EMT

📍
Updated Practice Location September 21, 2021

Registered at 8100 NORTHLAND DR, BLOOMINGTON, MN 554314800 (Tel: 9528318742)

📍
Updated Business Mailing Address September 21, 2021

Registered at 325 ENGLER BLVD APT 216, CHASKA, MN 553182452 (Tel: 9528438505)

👤
Provider Name / Credentials Updated September 21, 2021

Recorded as KATELYNN WALSH, MS, LAT, ATC, HMS

NPI Profile Active April 17, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 17, 2019

Registered at 958 WOODVIEW CIR, CARVER, MN 553154519 (Tel: 9528438505)

📍
Updated Business Mailing Address April 17, 2019

Registered at 958 WOODVIEW CIR, CARVER, MN 553154519 (Tel: 9528438505)

👤
Provider Name / Credentials Updated April 17, 2019

Recorded as KATELYNN WALSH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 17, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1003479965
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2019
Last Update: March 23, 2023
Sole Proprietor: Yes

Mailing Address

Po Box 282

Carver, MN 553150282

Phone: 9528438505

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.