Individual provider Active NPI

Lori Kay Oda, MS, AT, ATC

  • Athletic Trainer
  • Eaton, OH
National Provider Identifier
1053746800
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT002572 Issued in OH
Practice address
600 Hillcrest Dr
Eaton High School - Athletic Trainer
Eaton, OH 45320-8501
Phone
(937) 367-7002
NPI assigned
Sep 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT002572 OH Primary

Addresses

Primary practice location

600 Hillcrest Dr
Eaton High School - Athletic Trainer
Eaton, OH 45320-8501

Mailing address

600 Hillcrest Dr
Eaton High School - Athletic Trainer
Eaton, OH 45320-8501
Phone (937) 367-7002

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AT002572OHMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1053746800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HILLCREST DR",
            "address_2": "EATON HIGH SCHOOL - ATHLETIC TRAINER",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453208501",
            "telephone_number": "937-367-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HILLCREST DR",
            "address_2": "EATON HIGH SCHOOL - ATHLETIC TRAINER",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453208501",
            "telephone_number": "937-367-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODA",
        "first_name": "LORI",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "MS, AT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT002572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eaton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.