Individual provider Active NPI

Amy Lynn Menzies, MS, ATC, LAT

  • Athletic Trainer
  • Livingston, AL
National Provider Identifier
1295005593
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1347 Issued in AL
Practice address
1 College Dr
Station #14
Livingston, AL 35470-2098
Phone
(205) 652-3452
Fax
(205) 652-3799
NPI assigned
Jan 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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 1347 AL Primary

Addresses

Primary practice location

1 College Dr
Station #14
Livingston, AL 35470-2098

Mailing address

1 College Dr
Station #14
Livingston, AL 35470-2098
Phone (205) 652-3452

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1295005593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COLLEGE DR",
            "address_2": "STATION #14",
            "city": "LIVINGSTON",
            "state": "AL",
            "postal_code": "354702098",
            "telephone_number": "205-652-3452",
            "fax_number": "205-652-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLLEGE DR",
            "address_2": "STATION #14",
            "city": "LIVINGSTON",
            "state": "AL",
            "postal_code": "354702098",
            "telephone_number": "205-652-3452",
            "fax_number": "205-652-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENZIES",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "MS, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "1347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.