Active NPI
Danielle Lee Lemke, M.ED, LAT
- Athletic Trainer
- Peshtigo, WI
National Provider Identifier
1437523214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1312-39
- Practice address
- W4793 Schonfeld LN
Peshtigo, WI 54157-9696 - Phone
- (920) 373-3226
- NPI assigned
- Nov 17, 2015
- 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 | 1312-39 | WI | Primary |
Addresses
Primary practice location
W4793 Schonfeld LN
Peshtigo, WI 54157-9696
Mailing address
W4793 Schonfeld LN
Peshtigo, WI 54157-9696
Phone (920) 373-3226
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000002358 | Other | BOARD OF CERTIFICATION - ATHLETIC TRAINING | |
| 1312-39 | Other | WI | WISCONSIN STATE LICENSURE |
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1312-39 | WI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580774400000",
"number": "1437523214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W4793 SCHONFELD LN",
"city": "PESHTIGO",
"state": "WI",
"postal_code": "541579696",
"telephone_number": "920-373-3226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W4793 SCHONFELD LN",
"city": "PESHTIGO",
"state": "WI",
"postal_code": "541579696",
"telephone_number": "920-373-3226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMKE",
"first_name": "DANIELLE",
"middle_name": "LEE",
"name_prefix": "Miss",
"credential": "M.ED, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-17",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "1312-39",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CERTIFICATION - ATHLETIC TRAINING",
"identifier": "2000002358",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISCONSIN STATE LICENSURE",
"identifier": "1312-39",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peshtigo, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.