Andrew Lanphere, ATC, LAT, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

002968-1 Issued in NY

Practice address

9520 Fredonia Stockton Rd
Fredonia, NY 14063-9518

Phone

(716) 672-4371

NPI assigned

Oct 6, 2020

Last updated

Oct 6, 2020By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1659978351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12131 HANFORD RD",
            "city": "SILVER CREEK",
            "state": "NY",
            "postal_code": "141369723",
            "telephone_number": "716-410-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 FREDONIA STOCKTON RD",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140639518",
            "telephone_number": "716-672-4371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12131 Hanford Rd",
            "address_purpose": "LOCATION",
            "city": "Silver Creek",
            "state": "NY",
            "postal_code": "141369723",
            "country_code": "US",
            "telephone_number": "716-410-1384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANPHERE",
        "first_name": "ANDREW",
        "credential": "ATC, LAT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "002968-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William J Kuwik II, LMT
• Sheila Kyser, LCSW
• Lake Erie Medical Services, PC
• Andrew James Landis, MD
• Dimitrios Andreas Landis, DC
• Stephen Laskowski, DO
• Jill M Lawson, RPH
• Judith Rene Layman, R.N.
• Laurel Lees
• Colleen G. Lewis, PH.D.

• Athletic Trainer in Fredonia, NY
• Providers in Fredonia, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.