Active NPI
Gabriela Alejandra Medina Lima, ATC
- Athletic Trainer
- Flagstaff, AZ
National Provider Identifier
1023736154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- ATR-100208
- Practice address
- 1705 S San Francisco St
Flagstaff, AZ 86011-2205 - Phone
- (928) 523-5353
- NPI assigned
- Aug 15, 2022
- 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 | ATR-100208 | AZ | Primary |
Addresses
Primary practice location
1705 S San Francisco St
Flagstaff, AZ 86011-2205
Mailing address
12758 Foliage CT
Apple Valley, MN 55124-7978
Phone (754) 304-7514
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 |
|---|---|---|---|
| ATR-100208 | AZ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1023736154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12758 FOLIAGE CT",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551247978",
"telephone_number": "754-304-7514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 S SAN FRANCISCO ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860112205",
"telephone_number": "928-523-5353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA LIMA",
"first_name": "GABRIELA ALEJANDRA",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-15",
"last_updated": "2025-07-10",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "ATR-100208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.