Active NPI
Elizabeth Lee Spangler, ATC
- Athletic Trainer
- Buffalo, NY
National Provider Identifier
1447846399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 003360
- Practice address
- 4225 Genesee St
Buffalo, NY 14225-1994 - Phone
- (716) 204-3200
- NPI assigned
- Dec 15, 2020
- 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 | 003360 | NY | Primary |
Addresses
Primary practice location
4225 Genesee St
Buffalo, NY 14225-1994
Mailing address
18 Euclid Ave Apt D
Buffalo, NY 14211-2600
Phone (815) 354-9595
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 |
|---|---|---|---|
| 003360 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1447846399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 EUCLID AVE APT D",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142112600",
"telephone_number": "815-354-9595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 GENESEE ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142251994",
"telephone_number": "716-204-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPANGLER",
"first_name": "ELIZABETH",
"middle_name": "LEE",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-15",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "003360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.