Active NPI
Andrea Suzanne Harrison, A.T.C./L
- Athletic Trainer
- Orlando, FL
National Provider Identifier
1285697920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL1378
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AL1378 | Other | FL | ATHLETIC 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
| License | State | Type | Specialty |
|---|---|---|---|
| AL1378 | FL | MD | Athletic 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.