Active NPI
Lindsey Pederson
- Athletic Trainer
- Parker, CO
National Provider Identifier
1255727780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 16522 Keystone Blvd
Unit N
Parker, CO 80134-3303 - Phone
- (303) 840-7325
- NPI assigned
- Apr 10, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
16522 Keystone Blvd
Unit N
Parker, CO 80134-3303
Mailing address
10157 Stoneridge Ter
Parker, CO 80134-9505
Phone (505) 417-2905
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428624000000",
"number": "1255727780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10157 STONERIDGE TER",
"city": "PARKER",
"state": "CO",
"postal_code": "801349505",
"telephone_number": "505-417-2905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16522 KEYSTONE BLVD",
"address_2": "UNIT N",
"city": "PARKER",
"state": "CO",
"postal_code": "801343303",
"telephone_number": "303-840-7325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDERSON",
"first_name": "LINDSEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-10",
"last_updated": "2015-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
- Janae A Pearce
- Katherine Alicia Pearce, MD
- Shannon Bramall Pearce, FNP-BC
- Christie Browne Peck, DPT
- Kristine Pedersen, OD
- Pediatric & Adolescent Medicine (Crown Point Pediatrics)
- Pediatric and Adolescent Medicine Associates PC (Crown Point Pediatrics)
- Pediatric Gastroenterology Consultants PC
- Pediatric Neurology and Epilepsy Specialists, PLLC
- Pediatric Pulmonary and Sleep Specialists, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.