Active NPI
Gabrielle Sombelon, ATC
- Athletic Trainer
- Lexington, KY
National Provider Identifier
1437559531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT1281
- Practice address
- 2195 Harrodsburg Rd
Suite 125
Lexington, KY 40504-3504 - Phone
- (859) 218-3131
- NPI assigned
- Aug 26, 2014
- 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 | AT1281 | KY | Primary |
Addresses
Primary practice location
2195 Harrodsburg Rd
Suite 125
Lexington, KY 40504-3504
Mailing address
628 Big Bear LN
Lexington, KY 40517-2054
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT1281 | KY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488499200000",
"number": "1437559531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 BIG BEAR LN",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405172054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2195 HARRODSBURG RD",
"address_2": "SUITE 125",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043504",
"telephone_number": "859-218-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMBELON",
"first_name": "GABRIELLE",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-26",
"last_updated": "2017-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KY",
"license": "AT1281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.