Active NPI
Lindsay Austin, MS, ATC, LAT
- Athletic Trainer
- Suffolk, VA
National Provider Identifier
1144615261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126002030
- Practice address
- 3373 Pruden Blvd
Suffolk, VA 23434-7235 - Phone
- (757) 539-8789
- NPI assigned
- Apr 6, 2015
- Last updated
- Dec 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | LAT-2383 | NC | |
| Athletic Trainer | 2255A2300X | 0126002030 | VA | Primary |
Addresses
Primary practice location
3373 Pruden Blvd
Suffolk, VA 23434-7235
Mailing address
3373 Pruden Blvd
Suffolk, VA 23434-7206
Phone (757) 539-8789
Other practice location 1
1 University Pl
Murfreesboro, NC 27855-1855
Phone (252) 398-6291
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAT-2383 | NC | MD | Athletic Trainer |
| 0126002030 | VA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1144615261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3373 PRUDEN BLVD",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234347206",
"telephone_number": "757-539-8789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3373 PRUDEN BLVD",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234347235",
"telephone_number": "757-539-8789"
}
],
"practiceLocations": [
{
"address_1": "1 University Pl",
"address_purpose": "LOCATION",
"city": "Murfreesboro",
"state": "NC",
"postal_code": "278551855",
"country_code": "US",
"telephone_number": "252-398-6291",
"fax_number": "252-398-6532",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AUSTIN",
"first_name": "LINDSAY",
"credential": "MS, ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-06",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-2383",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126002030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
- Nadia Ali Ata, D.M.D.
- Daniel M Atienza, MD
- Kimberley Jordan Atkins, DPT
- Atlantic Urogynecology Pelvic Medicine and Reconstructive Surgery PC
- Demetria Yvette Austin, M.D.
- Autumn Care of Suffolk
- Autumn Corporation (Autumn Care of Suffolk)
- Akachi Peace Agor Awuruonye, DO
- Katherine Elizabeth Aydlett
- Holly Dawnielle Ayers
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.