Active NPI
Andrea Lynn Lopez, ATC
- Athletic Trainer
- West Lafayette, IN
National Provider Identifier
1720163348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36001327A
- Practice address
- 900 N. University Ave
Room B63
West Lafayette, IN 47907 - Phone
- (765) 494-3245
- NPI assigned
- Oct 25, 2006
- 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 | 36001327A | IN | Primary |
Addresses
Primary practice location
900 N. University Ave
Room B63
West Lafayette, IN 47907
Mailing address
3860 Ledyard St.
West Lafayette, IN 47906
Phone (765) 418-5102
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 |
|---|---|---|---|
| 36001327A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720163348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3860 LEDYARD ST.",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "47906",
"telephone_number": "765-418-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N. UNIVERSITY AVE",
"address_2": "ROOM B63",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "47907",
"telephone_number": "765-494-3245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ANDREA",
"middle_name": "LYNN",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36001327A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.