CMS-1500 Box 24J / 33a • NPI
1700400504
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2255A2300X
Licensed & Credentialed Specialist/Technologist, Athletic Trainer
Box 32 Service Location & ZIP+4
800 N COLUMBIA AVE, SEWARD, NE, 68434-1500
✓ 9-Digit EDI 837 ZIP+4 (68434-1500)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1700400504 (KYLI LEAH HAINES, MA, ATC, LAT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1700400504 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KYLI LEAH HAINES, MA, ATC, LAT |
| Plain-English Specialty | Licensed & Credentialed Specialist/Technologist, Athletic Trainer NUCC Code: 2255A2300X (Specialist/Technologist, Athletic Trainer) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 800 N COLUMBIA AVE, SEWARD, NE, 68434-1500 |
| Practice Telephone / Fax | Tel: (402) 643-7386 |
| Administrative Mailing Address | 3137 FLETCHER AVE APT 275, LINCOLN, NE, 68504-1045 |
| Enumeration & Last Sync | Enumerated: 2020-06-08 | CMS Record Updated: 2020-06-08 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2255A2300X)
What Does Taxonomy Code 2255A2300X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2255A2300X translates to:
"Licensed & Credentialed Specialist/Technologist, Athletic Trainer"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KYLI LEAH HAINES, MA, ATC, LAT)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2255A2300X — Specialist/Technologist, Athletic TrainerPlain English: Licensed & Credentialed Specialist/Technologist, Athletic Trainer | State: NE | License: 863 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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