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

Nicole Lynn Balderston, MS, LAT, ATC

Individual provider Athletic Trainer · NPI 1205532819

Nicole Lynn Balderston, MS, LAT, ATC is an Athletic Trainer in Kansas City, Missouri. Licensed in Kansas and Missouri. Registered with an NPI since 2023.

Licensed in
KS, MO
In the registry since
2023
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1950 Diamond Pkwy
Kansas City, MO 64116-4328
Phone: (816) 561-3003
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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 24-01454 (KS)
Athletic Trainer Taxonomy 2255A2300X · Licence 2019032463 (MO)

Record details

NPI number1205532819
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LAT , ATC
Sole proprietorNo
NPI enumeratedFebruary 6, 2023
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 5, 2023

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