Nicole Lane-Lehew, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

ATR-009057 Issued in AZ

Practice address

37100 N Gantzel Rd Ste 107
Queen Creek, AZ 85140-7350

Phone

(480) 394-4480

Fax

(602) 805-2828

NPI assigned

Feb 6, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Nicole Bascelli Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1376008128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37100 N GANTZEL RD STE 107",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851407350",
            "telephone_number": "480-394-4480",
            "fax_number": "602-805-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37100 N GANTZEL RD STE 107",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851407350",
            "telephone_number": "480-394-4480",
            "fax_number": "602-805-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE-LEHEW",
        "first_name": "NICOLE",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "ATR-009057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BASCELLI",
            "credential": "MS, LAT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyle Ash DMD PC
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• Cynthia Lafferty, RN,BS,IBCLC
• Deryl R Lamb, MD
• Joel Robin Lane, MD
• Alan L Langendoerfer, RNFA
• Genesis Larkins, DC
• Austin Larson
• Brittany Jo Larson, LCSW

• Athletic Trainer in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.