Gay Lynn Anderson, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000172604 Issued in MO

Practice address

11901 Wornall Rd
Avila University, M112
Kansas City, MO 64145-1007

Phone

(816) 501-3742

Fax

(816) 941-4503

NPI assigned

Jul 20, 2006

Last updated

Jul 20, 2016By 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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1457371593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E 74TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311636",
            "telephone_number": "816-786-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 WORNALL RD",
            "address_2": "AVILA UNIVERSITY, M112",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451007",
            "telephone_number": "816-501-3742",
            "fax_number": "816-941-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "GAY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2000172604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clay M Anderson, MD
• Clifford Virgil Anderson, DDS
• Crystal Dawn Anderson
• Edna Mae Anderson, RN
• Emily Dyan Anderson, MS, LPC
• Hannah Anderson
• James Ricardo Anderson, RT
• James Richard Anderson, D.D.S.
• Jane Anderson, OT
• Jason Anderson, DPM

• Athletic Trainer in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.