Lawrence E Venis, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

313 Issued in MA

Practice address

925 Commonwealth Ave
Boston, MA 02215-1394

Phone

(617) 353-7326

Fax

(617) 358-7166

NPI assigned

Sep 29, 2005

Sex

Male

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

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1487641031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 OLD LANCASTER RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017762032",
            "telephone_number": "617-353-7326",
            "fax_number": "617-358-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 COMMONWEALTH AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022151394",
            "telephone_number": "617-353-7326",
            "fax_number": "617-358-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENIS",
        "first_name": "LAWRENCE",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prathima Sree Prasanna Vemulapalli, DMD, MMSC
• Michelle D Vendetti, RN
• Jennel Marie Vendola, CPNP
• Caroline Margaret Venegas, BA
• Kiki Constance Venios
• Veena Venkatachalam, M.D., PH.D.
• Shilpa Venkataraman
• Vinayak Venkataraman, MD
• Kaushik Venkatesh, MD, MBA, MPH
• Sheila Lakshmi Venkatesh, M.D.

• Athletic Trainer in Boston, MA
• Providers in Boston, MA by specialty
• Athletic Trainer in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.