Active NPI
Lisha Dawne King, M.S., ATC, LAT
- Athletic Trainer
- Warsaw, MO
National Provider Identifier
1396708152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1999135043
- Practice address
- 1330 Commercial St
Ste 100
Warsaw, MO 65355 - Phone
- (660) 438-5063
- Fax
- (660) 438-7409
- NPI assigned
- Apr 11, 2006
- 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 | 1999135043 | MO | Primary |
Addresses
Primary practice location
1330 Commercial St
Ste 100
Warsaw, MO 65355
Mailing address
1801A S Barrett Ave
Sedalia, MO 65301-6919
Phone (660) 829-0733
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1999135043 | MO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200441600000",
"number": "1396708152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801A S BARRETT AVE",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653016919",
"telephone_number": "660-829-0733",
"fax_number": "660-829-0733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 COMMERCIAL ST",
"address_2": "STE 100",
"city": "WARSAW",
"state": "MO",
"postal_code": "65355",
"telephone_number": "660-438-5063",
"fax_number": "660-438-7409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "LISHA",
"middle_name": "DAWNE",
"name_prefix": "Ms.",
"credential": "M.S., ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2008-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "1999135043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warsaw, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.