Active NPI
Tyler R Lamoureux
- Athletic Trainer
- West Charleston, VT
National Provider Identifier
1316417066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 3366 Route 5a
West Charleston, VT 05872-9631 - Phone
- (802) 323-4480
- NPI assigned
- Nov 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | VT | ||
| Athletic Trainer | 2255A2300X | VT | Primary |
Addresses
Primary practice location
3366 Route 5a
West Charleston, VT 05872-9631
Mailing address
3366 Route 5a
West Charleston, VT 05872-9631
Phone (802) 323-4480
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": "1543190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543190400000",
"number": "1316417066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3366 ROUTE 5A",
"city": "WEST CHARLESTON",
"state": "VT",
"postal_code": "058729631",
"telephone_number": "802-323-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3366 ROUTE 5A",
"city": "WEST CHARLESTON",
"state": "VT",
"postal_code": "058729631",
"telephone_number": "802-323-4480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMOUREUX",
"first_name": "TYLER",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-26",
"last_updated": "2018-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VT",
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Charleston, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.