Active NPI
Lindsey Brooke Ford, LAT, ATC, MBA
- Athletic Trainer
- Sevierville, TN
National Provider Identifier
1558030890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2773
- Practice address
- 742 Middle Creek Rd
Sevierville, TN 37862-5019 - Phone
- (865) 446-7000
- NPI assigned
- Sep 9, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2773 | TN | Primary |
Addresses
Primary practice location
742 Middle Creek Rd
Sevierville, TN 37862-5019
Mailing address
742 Middle Creek Rd
Sevierville, TN 37862-5019
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116831180 | Other | TN | DRIVERS LISCENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.lecontemedicalcenter.com/ | Other |
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
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2773 | TN | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1558030890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "742 MIDDLE CREEK RD",
"city": "SEVIERVILLE",
"state": "TN",
"postal_code": "378625019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "742 MIDDLE CREEK RD",
"city": "SEVIERVILLE",
"state": "TN",
"postal_code": "378625019",
"telephone_number": "865-446-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "LINDSEY",
"middle_name": "BROOKE",
"name_prefix": "Miss",
"credential": "LAT, ATC, MBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-09",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "2773",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LISCENSE",
"identifier": "116831180",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.lecontemedicalcenter.com/",
"affiliation": "N",
"endpointDescription": "Website",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Contact Information",
"address_1": "742 Middle Creek Rd",
"city": "Sevierville",
"state": "TN",
"country_code": "US",
"postal_code": "378625019",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sevierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.