Andrea Lee Ganss, MS, AT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601000362 Issued in MI

Practice address

4660 S Hagadorn Rd
420
East Lansing, MI 48823-5376

Phone

(517) 884-6100

Fax

(517) 884-6233

NPI assigned

Dec 19, 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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1154667178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5812 APPLEWOOD",
            "address_2": "702",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223474",
            "telephone_number": "231-510-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 S HAGADORN RD",
            "address_2": "420",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235376",
            "telephone_number": "517-884-6100",
            "fax_number": "517-884-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANSS",
        "first_name": "ANDREA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MS, AT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601000362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Adam Gage, DO
• Amanda Gahsman, FNP-C
• Karlene Gaither, DNP, RN, FNP-BC
• Kristy Carpenter Galehouse, PT
• Philip Mark Gamber, MSW
• Jackie Gant Caldwell
• Hunter Lynn Gantos
• Jadyn Hope Garchow
• Pablo David Garcia Ortiz
• Damaris Joy Garcia

• Athletic Trainer in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.