Michelle Marie Lesperance, LAT, ATC

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

322419423 Issued in NC

Practice address

5401 Broadleaf Rd
Summerfield, NC 27358-7825

Phone

(336) 404-8419

NPI assigned

Mar 8, 2007

Last updated

Jul 29, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1073644589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 N BROOK DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274108368",
            "telephone_number": "336-272-7192",
            "fax_number": "336-217-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 BROADLEAF RD",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273587825",
            "telephone_number": "336-404-8419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 W Market St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011823",
            "country_code": "US",
            "telephone_number": "336-272-7102 x629",
            "fax_number": "336-217-7237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESPERANCE",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "0554",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NC",
            "license": "322419423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER",
            "identifier": "22",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Shawn P. Lazoff, DO
• Timothy Lee Lockamy, DO
• Patsy Morton Long, RN
• Jay Matthews
• William Keith McClain, RPH
• Margaret Kelly McGuire, DDS

• Health Educator in Summerfield, NC
• Providers in Summerfield, NC by specialty
• Health Educator in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.