Active NPI
Elizabeth Ellen Meiss, ATC
- Athletic Trainer
- Lexington, IL
National Provider Identifier
1013461631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 096.004247
- Practice address
- 100 E Wall St
Lexington, IL 61753-1462 - Phone
- (309) 434-4702
- NPI assigned
- Aug 11, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 096.004247 | IL | Primary |
Addresses
Primary practice location
100 E Wall St
Lexington, IL 61753-1462
Mailing address
607 N Center St
Lexington, IL 61753-1016
Phone (309) 434-4702
Other practice location 1
1120 N Melvin St
Gibson City, IL 60936-1477
Phone (217) 784-4251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096.004247 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1013461631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 N CENTER ST",
"city": "LEXINGTON",
"state": "IL",
"postal_code": "617531016",
"telephone_number": "309-434-4702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E WALL ST",
"city": "LEXINGTON",
"state": "IL",
"postal_code": "617531462",
"telephone_number": "309-434-4702"
}
],
"practiceLocations": [
{
"address_1": "1120 N Melvin St",
"address_purpose": "LOCATION",
"city": "Gibson City",
"state": "IL",
"postal_code": "609361477",
"country_code": "US",
"telephone_number": "217-784-4251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEISS",
"first_name": "ELIZABETH",
"middle_name": "ELLEN",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-11",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096.004247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.