Individual provider Active NPI

Kamie Joy Lucas, ATC, LAT

  • Athletic Trainer
  • Fort Wayne, IN
National Provider Identifier
1265491211
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
36001232A Issued in IN
Practice address
1600 E Washington Blvd
Indiana Institute of Technology
Fort Wayne, IN 46803
Phone
(260) 422-5561
NPI assigned
Mar 20, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 36001232A IN Primary

Addresses

Primary practice location

1600 E Washington Blvd
Indiana Institute of Technology
Fort Wayne, IN 46803

Mailing address

1922 Ardmore Ave
Apt. 54
Fort Wayne, IN 46802-4824
Phone (260) 557-5400

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

State licenses

LicenseStateTypeSpecialty
36001232AINMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265491211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 ARDMORE AVE",
            "address_2": "APT. 54",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468024824",
            "telephone_number": "260-557-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E WASHINGTON BLVD",
            "address_2": "INDIANA INSTITUTE OF TECHNOLOGY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46803",
            "telephone_number": "260-422-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "KAMIE",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36001232A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.