Michelle Lynn Landis, M.ED., LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36001411A Issued in IN

Practice address

Indiana State University
Athletic Training Department
Terre Haute, IN 47809-0001

Phone

(812) 237-4062

Fax

(812) 237-9612

NPI assigned

Aug 20, 2007

Sex

Female

Sole proprietor

No

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

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1457544975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "INDIANA STATE UNIVERSITY",
            "address_2": "ATHLETIC TRAINING DEPARTMENT",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478090001",
            "telephone_number": "812-237-4062",
            "fax_number": "812-237-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INDIANA STATE UNIVERSITY",
            "address_2": "ATHLETIC TRAINING DEPARTMENT",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478090001",
            "telephone_number": "812-237-4062",
            "fax_number": "812-237-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "M.ED., LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36001411A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Clare Lambert, FNP-C
• Zane Lambert, DMD
• Kimberley Lance, MS, RD, CD.
• Alexander Land
• Alison Landgraf, DMD
• Isabella Lane, RBT
• Kelsey Lane, RBT
• Courtney Langley, OD
• Kaleb Orville Larson, MS
• Darcy Lash, MD

• Athletic Trainer in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.