Kyle Andre St. Peter, LAT, ATC

Athletic Trainer · Fairfax, VA

Individual Active NPI

NPI number 1497122881

Practice location

4400 University Dr, Ms 3a5
Fairfax, VA 22030
Phone
(703) 993-3280

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NPI record

NPI
1497122881
Entity type
Individual (Type 1)
Enumeration date
September 1, 2015
Last updated
December 15, 2025
Certified
December 15, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 0126003666 VA
Athletic Trainer 2255A2300X 2601001718 MI
Basic Emergency Medical Technician 146N00000X 3203056420 MI

Mailing address

11318 Westbrook Mill Ln Unit 103
Fairfax, VA 22030-5665

About Kyle St. Peter

Kyle Andre St. Peter, LAT, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 4400 University Dr, Ms 3a5, Fairfax, VA 22030. The NPI number 1497122881 was assigned on September 1, 2015 and the record was last updated on December 15, 2025.

Kyle St. Peter lists 3 licenses in the registry: #0126003666 (VA) for Athletic Trainer; #2601001718 (MI) for Athletic Trainer; #3203056420 (MI) for Basic Emergency Medical Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kyle Andre St. Peter, LAT, ATC?

The NPI number is 1497122881.

What is the phone number of Kyle St. Peter?

The phone number listed for the practice location is (703) 993-3280.

Where is Kyle St. Peter located?

4400 University Dr, Ms 3a5, Fairfax, VA 22030.

What is the taxonomy code for Kyle St. Peter?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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