Individual provider Active NPI

Andrea Suzanne Harrison, A.T.C./L

  • Athletic Trainer
  • Orlando, FL
National Provider Identifier
1285697920
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AL1378 Issued in FL
Practice address
1768 Park Center Dr
Ste. 200
Orlando, FL 32835-6200
Phone
(407) 352-1550
Fax
(407) 447-7582
NPI assigned
Apr 11, 2006
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 AL1378 FL Primary

Addresses

Primary practice location

1768 Park Center Dr
Ste. 200
Orlando, FL 32835-6200

Mailing address

900 Thompson Cir NW
Winter Haven, FL 33881-2360
Phone (954) 290-7491

Other identifiers 1

IdentifierTypeStateIssuer
AL1378OtherFLATHLETIC TRAINING LICENSE

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
AL1378FLMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285697920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 THOMPSON CIR NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338812360",
            "telephone_number": "954-290-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 PARK CENTER DR",
            "address_2": "STE. 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356200",
            "telephone_number": "407-352-1550",
            "fax_number": "407-447-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "ANDREA",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "A.T.C./L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL1378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINING LICENSE",
            "identifier": "AL1378",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

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.