Leesa Durussel

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

7710 S Merrill Rd
Saint Charles, MI 48655-9774

Phone

(989) 643-5066

NPI assigned

Mar 13, 2015

Sex

Female

Sole proprietor

No

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": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1588057616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 S MERRILL RD",
            "city": "SAINT CHARLES",
            "state": "MI",
            "postal_code": "486559774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 S MERRILL RD",
            "city": "SAINT CHARLES",
            "state": "MI",
            "postal_code": "486559774",
            "telephone_number": "989-643-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURUSSEL",
        "first_name": "LEESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Binder
• Kiran Campbell, RDN
• David E. Duryea, O.D., P.C.
• DCS Management
• Tricia Douglas, ATS
• Miranda Ezop, LMT
• Allyssa Faulknor
• Jessica Fields, RN
• Megan Frye
• Angela Girard, LMSW

• Athletic Trainer in Saint Charles, MI
• Providers in Saint Charles, MI by specialty
• Athletic Trainer in Michigan

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

Verify at the official NPI Registry.