Active NPI
Logan Catherine Lamalie, ATC
- Athletic Trainer
- Livingston, AL
National Provider Identifier
1508411752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2680
- Practice address
- 100 US-11
Station #14
Livingston, AL 35470 - Phone
- (205) 652-3714
- NPI assigned
- Aug 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OH | ||
| Athletic Trainer | 2255A2300X | 2680 | AL | Primary |
Addresses
Primary practice location
100 US-11
Station #14
Livingston, AL 35470
Mailing address
100 US-11
Uwa Station 14
Livingston, AL 35470
Phone (205) 652-3714
Other practice location 1
535 Irving Schottenstein Dr
Columbus, OH 43210-1044
Phone (614) 292-2531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000050803 | Other | OH | BOARD OF CERTIFICATION |
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 |
|---|---|---|---|
| 2680 | AL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1508411752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 US-11",
"address_2": "UWA STATION 14",
"city": "LIVINGSTON",
"state": "AL",
"postal_code": "35470",
"telephone_number": "205-652-3714",
"fax_number": "205-652-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 US-11",
"address_2": "STATION #14",
"city": "LIVINGSTON",
"state": "AL",
"postal_code": "35470",
"telephone_number": "205-652-3714"
}
],
"practiceLocations": [
{
"address_1": "535 Irving Schottenstein Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432101044",
"country_code": "US",
"telephone_number": "614-292-2531",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAMALIE",
"first_name": "LOGAN",
"middle_name": "CATHERINE",
"name_prefix": "Ms.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-05",
"last_updated": "2022-08-11",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "2680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CERTIFICATION",
"identifier": "2000050803",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Livingston, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.