Active NPI
Leslie Martin, LAT, ATC
- Athletic Trainer
- Spokane, WA
National Provider Identifier
1700304979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A160493544
- Practice address
- 2420 E 29TH Ave Ste 100
Spokane, WA 99223-4868 - Phone
- (509) 724-4320
- NPI assigned
- Sep 7, 2017
- Sex
- Female
- Sole proprietor
- No
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 | A160493544 | WA | Primary |
Addresses
Primary practice location
2420 E 29TH Ave Ste 100
Spokane, WA 99223-4868
Mailing address
4711 N Lyons Rd
Spokane, WA 99224-8925
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 |
|---|---|---|---|
| A160493544 | WA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504742400000",
"number": "1700304979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4711 N LYONS RD",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992248925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 E 29TH AVE STE 100",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992234868",
"telephone_number": "509-724-4320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "LESLIE",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-07",
"last_updated": "2017-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WA",
"license": "A160493544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.