Lekyndra Smith, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT 485 Issued in AR

Practice address

21275 Light Infantry Ave
El Paso, TX 79908

Phone

(915) 308-6171

NPI assigned

Dec 14, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1730458142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 WISTERIA DR",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386142931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21275 LIGHT INFANTRY AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79908",
            "telephone_number": "915-308-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LEKYNDRA",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT7751",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AR",
            "license": "AT 485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Smith, EIS
• Kaitlyn Smith
• Kashion Elena Jean Smith
• Kathi Marie Smith, RN
• Kayla Lynne Smith
• Lynzie Smith
• Madeline Nicole Smith, M.A. CCC-SLP
• Margaret Elizabeth Smith, OTR
• Monnette R Smith, M.S., R.D., L.D.
• Nathan Smith

• Athletic Trainer in El Paso, TX
• Providers in El Paso, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.