Laurie Widerman Stover

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

909 Fairfield Rd
Gettysburg, PA 17325-7244

Phone

(717) 334-9171

NPI assigned

Jan 27, 2020

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Young Women'S Christian Associaton of Gettysburg & Adams County

  • Athletic Trainer
  • Gettysburg, PA
  • NPI 1497394191
  NPD

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1275164493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E MIDDLE ST",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173251938",
            "telephone_number": "443-791-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 FAIRFIELD RD",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173257244",
            "telephone_number": "717-334-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVER",
        "first_name": "LAURIE",
        "middle_name": "WIDERMAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Anne Stone, B.S.
• Ericka Lea Stoor-Burning, PA-C
• Kady Storm
• Michelle V Stovall, D.D.S.
• Erin Stover, DPT
• Clyde A Strang, M.D.
• Cindy Ann-Elizabeth Strickler, PT
• Loretta Lynn Strine, LMT
• Nora Rose Sudarsan, D.O.
• Susquehanna Optical Inc

• Athletic Trainer in Gettysburg, PA
• Providers in Gettysburg, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.