Lynn Ann Groth, ATC LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

330 Issued in IA

Practice address

4545 Wenig Rd NE
Cedar Rapids, IA 52402-2212

Phone

(319) 310-4822

NPI assigned

May 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1699982280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 GLENWOOD DR NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524052104",
            "telephone_number": "319-310-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 WENIG RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022212",
            "telephone_number": "319-310-4822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Tama St SE",
            "address_2": "Suite 700",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524034556",
            "country_code": "US",
            "telephone_number": "319-447-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROTH",
        "first_name": "LYNN",
        "middle_name": "ANN",
        "credential": "ATC LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "01083",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Groe, LAT, ATC
• Jacob Austin Groen, PA-C
• Stacy Lynn Grooms, TLMFT
• Jordan Gross, M.D.
• Mackenzie Jane Groteluschen, ARNP
• Amanda Marie Grove
• Renee Grummer Miller, LISW
• Guardian Pharmacy of Iowa LLC
• Angela Lynne Gudenkauf
• Kaitlin Gudenkauf, TLMFT

• Athletic Trainer in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Athletic Trainer in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.