Active NPI
Lisa Alma Smith
- Athletic Trainer
- Usaf Academy, CO
National Provider Identifier
1063021772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT.0002129
- Practice address
- 2168 Field House Dr
Usaf Academy, CO 80840-9599 - Phone
- (719) 333-0221
- NPI assigned
- Jul 28, 2020
- 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 | AT.0002129 | CO | Primary |
Addresses
Primary practice location
2168 Field House Dr
Usaf Academy, CO 80840-9599
Mailing address
6740 Fredrick Dr
Colorado Springs, CO 80918-1345
Phone (719) 310-2698
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 |
|---|---|---|---|
| AT.0002129 | CO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595894400000",
"number": "1063021772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6740 FREDRICK DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809181345",
"telephone_number": "719-310-2698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2168 FIELD HOUSE DR",
"city": "USAF ACADEMY",
"state": "CO",
"postal_code": "808409599",
"telephone_number": "719-333-0221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LISA",
"middle_name": "ALMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-28",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CO",
"license": "AT.0002129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Usaf Academy, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.