Active NPI
Debra A. Lee, ATC/L
- Athletic Trainer
- Pensacola, FL
National Provider Identifier
1720225451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL962
- Practice address
- 1000 College Blvd
Athletic Department - PJC
Pensacola, FL 32504-8910 - Phone
- (850) 484-1305
- Fax
- (850) 484-1876
- NPI assigned
- Jan 16, 2009
- 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 | AL962 | FL | Primary |
Addresses
Primary practice location
1000 College Blvd
Athletic Department - PJC
Pensacola, FL 32504-8910
Mailing address
1153 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-7807
Phone (850) 932-6382
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 |
|---|---|---|---|
| AL962 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232064000000",
"number": "1720225451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1153 GULF BREEZE PKWY",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325617807",
"telephone_number": "850-932-6382",
"fax_number": "850-932-9215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 COLLEGE BLVD",
"address_2": "ATHLETIC DEPARTMENT - PJC",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048910",
"telephone_number": "850-484-1305",
"fax_number": "850-484-1876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DEBRA",
"middle_name": "A.",
"credential": "ATC/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-16",
"last_updated": "2009-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.