Active NPI
Lydia Loree Case, ATC
- Athletic Trainer
- Traverse City, MI
National Provider Identifier
1285764159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 5246 N Royal Dr
Suite B
Traverse City, MI 49684-6984 - Phone
- (231) 929-0303
- Fax
- (231) 929-0305
- NPI assigned
- Mar 7, 2007
- 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 | Primary |
Addresses
Primary practice location
5246 N Royal Dr
Suite B
Traverse City, MI 49684-6984
Mailing address
4691 Voice Rd
Kingsley, MI 49649-9604
Phone (231) 313-1112
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285764159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4691 VOICE RD",
"city": "KINGSLEY",
"state": "MI",
"postal_code": "496499604",
"telephone_number": "231-313-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5246 N ROYAL DR",
"address_2": "SUITE B",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496846984",
"telephone_number": "231-929-0303",
"fax_number": "231-929-0305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASE",
"first_name": "LYDIA",
"middle_name": "LOREE",
"name_prefix": "Mrs.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.