Active NPI
Kevin Michael Lennon, ATC, MS
- Athletic Trainer
- Sacramento, CA
National Provider Identifier
1407377047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 6000 J St
Sacramento, CA 95819-2605 - Phone
- (916) 278-2464
- NPI assigned
- Jul 5, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
6000 J St
Sacramento, CA 95819-2605
Mailing address
536 Riford Rd
Neenah, WI 54956-4204
Phone (920) 540-8624
Other practice location 1
1049 University Dr
Duluth, MN 55812-3011
Phone (218) 726-8709
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": "1499212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1407377047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "536 RIFORD RD",
"city": "NEENAH",
"state": "WI",
"postal_code": "549564204",
"telephone_number": "920-540-8624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 J ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958192605",
"telephone_number": "916-278-2464"
}
],
"practiceLocations": [
{
"address_1": "1049 University Dr",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558123011",
"country_code": "US",
"telephone_number": "218-726-8709",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LENNON",
"first_name": "KEVIN",
"middle_name": "MICHAEL",
"credential": "ATC, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.