Individual provider Active NPI

Kristiina Leida Lugus, AT

  • Athletic Trainer
  • Athens, OH
National Provider Identifier
1689150534
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT005682 Issued in OH
Practice address
363 Richland Ave Apt 369
Athens, OH 45701-3285
Phone
(678) 925-1231
NPI assigned
Jul 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT005682 OH Primary

Addresses

Primary practice location

363 Richland Ave Apt 369
Athens, OH 45701-3285

Mailing address

363 Richland Ave Apt 369
Athens, OH 45701-3285

Other names 1

  • Tiina Leida Lugus Professional name

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

LicenseStateTypeSpecialty
AT005682OHMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1689150534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 RICHLAND AVE APT 369",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457013285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 RICHLAND AVE APT 369",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457013285",
            "telephone_number": "678-925-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGUS",
        "first_name": "KRISTIINA",
        "middle_name": "LEIDA",
        "credential": "AT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT005682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIINA",
            "last_name": "LUGUS",
            "middle_name": "LEIDA",
            "credential": "AT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.