Active NPI
Vanessa Leon
- Athletic Trainer
- Indianapolis, IN
National Provider Identifier
1477128981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 5718 N Keystone Ave
Indianapolis, IN 46220-2880 - Phone
- (786) 203-1002
- NPI assigned
- May 26, 2021
- 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 | Primary |
Addresses
Primary practice location
5718 N Keystone Ave
Indianapolis, IN 46220-2880
Mailing address
5718 N Keystone Ave
Indianapolis, IN 46220-2880
Phone (786) 203-1002
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Indianapolis | Direct | |
| Other URL | Indianapolis | Direct | |
| Other URL | Indianapolis | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1477128981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5718 N KEYSTONE AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462202880",
"telephone_number": "786-203-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5718 N KEYSTONE AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462202880",
"telephone_number": "786-203-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "VANESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-26",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Indianapolis",
"affiliation": "N",
"endpointDescription": "indiana computer",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5718 N Keystone Ave",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462202880",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Indianapolis",
"affiliation": "N",
"endpointDescription": "indiana computer",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5718 N Keystone Ave",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462202880",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Indianapolis",
"affiliation": "N",
"endpointDescription": "indiana computer",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5718 N Keystone Ave",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462202880",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.