Lisa Anne Wood-Sanders, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

SC030275 Issued in SC

Practice address

210 Village Center Blvd Ste 140
Myrtle Beach, SC 29579-6706

Phone

(843) 333-8385

NPI assigned

Mar 16, 2021

Last updated

Mar 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1447835004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 ROTUNDA CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887986",
            "telephone_number": "843-902-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 VILLAGE CENTER BLVD STE 140",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295796706",
            "telephone_number": "843-333-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD-SANDERS",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "SC030275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan M Wiss, MD
• Selena Witherspoon
• Dacia Helen Woessner, ACNP
• Ashley Alley Wofford, APRN
• Howard Wong
• Cedric Wood
• Makayla Wood, DO
• Tracey Christine Wood, PNP-PC
• Cassie Lee Woodrow, PT, DPT
• Candy Godwin Woods, LPC

• Athletic Trainer in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.