Active NPI
Tyler Lee Lemings
- Athletic Trainer
- New Iberia, LA
National Provider Identifier
1104390194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 320092
- Practice address
- 2305 Jefferson Island Rd
New Iberia, LA 70560-9459 - Phone
- (209) 596-1649
- NPI assigned
- Jan 14, 2019
- Sex
- Male
- 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 | 320092 | LA | Primary |
Addresses
Primary practice location
2305 Jefferson Island Rd
New Iberia, LA 70560-9459
Mailing address
2701 Mozart Dr
Modesto, CA 95358-8854
Phone (209) 596-1649
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 |
|---|---|---|---|
| 320092 | LA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590624000000",
"number": "1104390194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 MOZART DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953588854",
"telephone_number": "209-596-1649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 JEFFERSON ISLAND RD",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705609459",
"telephone_number": "209-596-1649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMINGS",
"first_name": "TYLER",
"middle_name": "LEE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-14",
"last_updated": "2020-05-28",
"certification_date": "2020-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": "320092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.