Active NPI
Lance E Gunning, MS, ATC, LAT, LPTA
- Athletic Trainer
- Panama City, FL
National Provider Identifier
1710490644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL62
- Practice address
- 1827 Harrison Ave Unit 4
Panama City, FL 32405-7606 - Phone
- (850) 872-7022
- NPI assigned
- Nov 14, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA18764 | FL | |
| Athletic Trainer | 2255A2300X | AL62 | FL | Primary |
Addresses
Primary practice location
1827 Harrison Ave Unit 4
Panama City, FL 32405-7606
Mailing address
7410 Sale Blvd
Southport, FL 32409-1350
Phone (850) 271-4371
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA18764 | FL | MD | Physical Therapy Assistant |
| AL62 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510617600000",
"number": "1710490644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7410 SALE BLVD",
"city": "SOUTHPORT",
"state": "FL",
"postal_code": "324091350",
"telephone_number": "850-271-4371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1827 HARRISON AVE UNIT 4",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324057606",
"telephone_number": "850-872-7022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNNING",
"first_name": "LANCE",
"middle_name": "E",
"credential": "MS, ATC, LAT, LPTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-14",
"last_updated": "2017-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA18764",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL62",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.