Individual provider Active NPI

Lydia Elaine Lamere, ATC

  • Athletic Trainer
  • Cedar Rapids, IA
National Provider Identifier
1700442845
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
000776 Issued in IA
Practice address
1330 Elmhurst Dr NE
Cedar Rapids, IA 52402-4763
Phone
(319) 423-1264
NPI assigned
May 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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 000776 IA Primary

Addresses

Primary practice location

1330 Elmhurst Dr NE
Cedar Rapids, IA 52402-4763

Mailing address

3215 Soutter Ave SE
Cedar Rapids, IA 52403-3149
Phone (319) 423-1264

Other names 1

  • Lydia Elaine Rich Former 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

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1700442845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 SOUTTER AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524033149",
            "telephone_number": "319-423-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 ELMHURST DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024763",
            "telephone_number": "319-423-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMERE",
        "first_name": "LYDIA",
        "middle_name": "ELAINE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "000776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "RICH",
            "middle_name": "ELAINE",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.