Individual provider Active NPI

Lindsey Nicole Ventrella, ATC, OTC, LMT

  • Athletic Trainer
  • Tucson, AZ
National Provider Identifier
1275724544
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
009284 Issued in AZ
Practice address
1625 N Campbell Ave Ste 8423a
Tucson, AZ 85719-4330
Phone
(920) 203-6019
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Assistant 246ZX2200X 250405 AZ
Massage Therapist 225700000X 30479 AZ
Athletic Trainer 2255A2300X 009284 AZ Primary

Addresses

Primary practice location

1625 N Campbell Ave Ste 8423a
Tucson, AZ 85719-4330

Mailing address

2942 N 24TH St Ste 410515
Phoenix, AZ 85016-7844

Other practice location 1

550 W Ina Rd
Tucson, AZ 85704-4496
Phone (920) 203-6019

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
009284AZMDAthletic Trainer
250405AZMDOrthopedic Assistant

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1275724544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 N 24TH ST STE 410515",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N CAMPBELL AVE STE 8423A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857194330",
            "telephone_number": "920-203-6019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 W Ina Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857044496",
            "country_code": "US",
            "telephone_number": "920-203-6019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENTRELLA",
        "first_name": "LINDSEY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "ATC, OTC, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZX2200X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Orthopedic Assistant",
            "state": "AZ",
            "license": "250405",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "30479",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "009284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.