Lisa Nicole Gross, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

24-00642 Issued in KS

Practice address

4410 Pennsylvania Ave Apt 4
Kansas City, MO 64111-3323

Phone

(785) 766-5412

NPI assigned

Jan 22, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1043458532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 PENNSYLVANIA AVE APT 4",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113323",
            "telephone_number": "785-766-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 PENNSYLVANIA AVE APT 4",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113323",
            "telephone_number": "785-766-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "LISA",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KS",
            "license": "24-00642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS STATE BOARD OF HEALING ARTS",
            "identifier": "24-00642",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Gronemeyer
• Jennifer Ann Groner, D.O.
• Lori A. Groom, ARNP
• Amy Grosenheider, OTR/L
• Jami N Gross-Toalson, PHD
• Shawnda R Gross, D.C.
• Tammy Jean Grosserode, PA-C
• Joanna Kriegler Grossman, MD
• Sheldon L. Grossman, D.P.M.
• Stephanie Kara Grote, CPNP-PC

• Athletic Trainer in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.