Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Anne Kandra, ATC

Individual provider Athletic Trainer · NPI 1922478593

Nicole Anne Kandra, ATC is an Athletic Trainer in Fort Wainwright, Alaska. Licensed in Alaska, Hawaii, Oregon and Washington. Registered with an NPI since 2015.

Licensed in
AK, HI, OR, WA
In the registry since
2015
Specialties on file
4
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

4076 Neely Rd
Fort Wainwright, AK 99703
Phone: (907) 361-5172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 251410 (AK)
Athletic Trainer Taxonomy 2255A2300X · Licence AT-AT-10197732 (OR)
Athletic Trainer Taxonomy 2255A2300X · Licence 251 (HI)
Athletic Trainer Taxonomy 2255A2300X · Licence A160804654 (WA)

Record details

NPI number1922478593
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedSeptember 25, 2015
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026

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