Jonathan David Lenze, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1043 Issued in SC

Practice address

3201 E Court St
Consumers Energy Wellness Room
Flint, MI 48506-4022

Phone

(810) 760-3484

Fax

(810) 760-3329

NPI assigned

Apr 30, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1720222003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36296 FREDERICKSBURG RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313189",
            "telephone_number": "810-760-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 E COURT ST",
            "address_2": "CONSUMERS ENERGY WELLNESS ROOM",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485064022",
            "telephone_number": "810-760-3484",
            "fax_number": "810-760-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENZE",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-30",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "1043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ATHLETIC TRAINERS ASSOCIATION",
            "identifier": "040802004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS",
            "identifier": "2601001137",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL",
            "identifier": "1043",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dekobe Lemon
• Terri Lyn Lemon
• Anjewel Nevaeh Elidra Lenoir, BA
• Larry Lenoir
• Samarea Lenore, PH.D.
• Leo M. Madarang MD PC
• Leonard L J Dias MD PC
• Jennifer Leonard
• Joseph Leonard, R.PH.
• Kilee Leonard

• Athletic Trainer in Flint, MI
• Providers in Flint, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.