Individual provider Active NPI

Lindsey Catherine Smith, M.S., A.T.C., L.A.T.

  • Athletic Trainer
  • Millbrook, AL
National Provider Identifier
1417355603
Registry record updated Dec 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1224 Issued in AL
Practice address
40 Wisteria PL
Millbrook, AL 36054-1866
Phone
(334) 285-0239
Fax
(334) 285-9689
NPI assigned
Dec 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 1224 AL Primary

Addresses

Primary practice location

40 Wisteria PL
Millbrook, AL 36054-1866

Mailing address

34 County Road 544
Verbena, AL 36091-3415
Phone (205) 389-2274

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

LicenseStateTypeSpecialty
1224ALMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1419033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419033600000",
    "number": "1417355603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 COUNTY ROAD 544",
            "city": "VERBENA",
            "state": "AL",
            "postal_code": "360913415",
            "telephone_number": "205-389-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WISTERIA PL",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360541866",
            "telephone_number": "334-285-0239",
            "fax_number": "334-285-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LINDSEY",
        "middle_name": "CATHERINE",
        "credential": "M.S., A.T.C., L.A.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-20",
        "last_updated": "2014-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "1224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millbrook, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2014; 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.