Lisa M Chekanowsky, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL2942 Issued in FL

Practice address

1845 Town Center Blvd
Suite 410
Fleming Island, FL 32003-3356

Phone

(904) 621-0396

Fax

(904) 621-0397

NPI assigned

Jul 24, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jacksonville Orthopaedic Institute Inc

  • Orthopaedic Surgery Physician
  • Jacksonville, FL
  • NPI 1346298023

  Athletic Trainer

  NPD (past)

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1134475494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SAN MARCO BLVD",
            "address_2": "SUITE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078568",
            "telephone_number": "904-858-7045",
            "fax_number": "904-858-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 TOWN CENTER BLVD",
            "address_2": "SUITE 410",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320033356",
            "telephone_number": "904-621-0396",
            "fax_number": "904-621-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEKANOWSKY",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL2942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Brandon Causey, DPT
• Colin Cerwonka
• Lindsey Atkins Chambers, DPT
• Michelle Nicole Charette, ARNP
• Charles V Wilson M D P a
• Corallynn S Chesser
• Sian Chisholm, M.D.
• Elizabeth Susan Chouinard, APRN
• Gabrielle Cintron, OD
• Heather Brooke Clair

• Athletic Trainer in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.