Lindsey Marie Davis, MHA, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

4963 Issued in NC

Practice address

209 Ridge Rd # 5000
Davidson, NC 28036-0407

Phone

(704) 894-2223

Fax

(704) 894-2802

NPI assigned

Mar 16, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1104287218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20615 STERLING BAY LN W APT N",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314930",
            "telephone_number": "973-650-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 RIDGE RD # 5000",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280360407",
            "telephone_number": "704-894-2223",
            "fax_number": "704-894-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LINDSEY",
        "middle_name": "MARIE",
        "credential": "MHA, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT006265",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00213800",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "4963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davidson Family Therapy
• Davidson Fire
• Davidson Health Assoc PA
• Audrey Hopkins Davis, OTR/L
• Jacqueline Lesko Davis
• Melissa G Deal, ANP-BC
• Stephanie Dearmin, MSW, LCSW
• Susan Beverly Delucia, RN
• Nicole Anna Desantis, DO
• Sharon Devries, MA, LCMHCA

• Athletic Trainer in Davidson, NC
• Providers in Davidson, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.