Active NPI
Lyman Charles Drown, ATC
- Athletic Trainer
- Lake Stevens, WA
National Provider Identifier
1326344391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A1 60047789
- Practice address
- 9514 4TH Street NE
Suite 101
Lake Stevens, WA 98258 - Phone
- (425) 397-2327
- Fax
- (425) 377-0283
- NPI assigned
- Feb 8, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | A1 60047789 | WA | Primary |
Addresses
Primary practice location
9514 4TH Street NE
Suite 101
Lake Stevens, WA 98258
Mailing address
816 96TH Ave NE
Unit a
Lake Stevens, WA 98258
Phone (208) 301-3355
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 |
|---|---|---|---|
| A1 60047789 | WA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297123200000",
"number": "1326344391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 96TH AVE NE",
"address_2": "UNIT A",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "98258",
"telephone_number": "208-301-3355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9514 4TH STREET NE",
"address_2": "SUITE 101",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "98258",
"telephone_number": "425-397-2327",
"fax_number": "425-377-0283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DROWN",
"first_name": "LYMAN",
"middle_name": "CHARLES",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-08",
"last_updated": "2011-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WA",
"license": "A1 60047789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Stevens, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.