Active NPI
Lindsey Maxwell
- Athletic Trainer
- Fort Sill, OK
National Provider Identifier
1588055594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 770
- Practice address
- 6050 Rothwell St
Fort Sill, OK 73503-4482 - Phone
- (405) 351-2153
- NPI assigned
- Feb 12, 2015
- 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 | 770 | OK | Primary |
Addresses
Primary practice location
6050 Rothwell St
Fort Sill, OK 73503-4482
Mailing address
224 S Maple St
Crescent, OK 73028-9132
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 |
|---|---|---|---|
| 770 | OK | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423699200000",
"number": "1588055594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 S MAPLE ST",
"city": "CRESCENT",
"state": "OK",
"postal_code": "730289132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6050 ROTHWELL ST",
"city": "FORT SILL",
"state": "OK",
"postal_code": "735034482",
"telephone_number": "405-351-2153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "LINDSEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-12",
"last_updated": "2015-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OK",
"license": "770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Sill, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.