Tonja A Lueders, M.ED., LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT-10200149 Issued in OR

Practice address

500 E Veterans Way
Tempe, AZ 85287-0001

Phone

(480) 965-0185

NPI assigned

Apr 2, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1194287714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 SE DOUGLAS ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021432",
            "telephone_number": "503-867-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E VETERANS WAY",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852870001",
            "telephone_number": "480-965-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEDERS",
        "first_name": "TONJA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "M.ED., LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "001571",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OR",
            "license": "AT-10200149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Franklin Lubitz, D.C.
• Ariana Lynn Lucas
• Christopher Lucht
• Aleksandar Lucic, LMSW
• Neta Joy Ludwig, LPC
• Irina Luedy, PHARM.D.
• Stefani Luera
• Lindsay Luman-Latshaw, LCSW
• Camera Ann Lumumba, FNP
• Lunaria LLC

• Athletic Trainer in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.