Active NPI
Lauralee Virginia Hatleli, MED, LAT, ATC, CEAS
- Athletic Trainer
- Indianapolis, IN
National Provider Identifier
1740670223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36002460A
- Practice address
- 6428 Bower Dr
Indianapolis, IN 46241-1861 - Phone
- (217) 855-2757
- NPI assigned
- Feb 4, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 36002460A | IN | Primary |
Addresses
Primary practice location
6428 Bower Dr
Indianapolis, IN 46241-1861
Mailing address
6428 Bower Dr
Indianapolis, IN 46241-1861
Phone (217) 855-2757
Other practice location 1
2800 Palmyra Rd
Hannibal, MO 63401-1940
Phone (573) 629-3223
Other names 1
- Miss Lauralee Virginia Williams
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36002460A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1740670223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6428 BOWER DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462411861",
"telephone_number": "217-855-2757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6428 BOWER DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462411861",
"telephone_number": "217-855-2757"
}
],
"practiceLocations": [
{
"address_1": "2800 Palmyra Rd",
"address_purpose": "LOCATION",
"city": "Hannibal",
"state": "MO",
"postal_code": "634011940",
"country_code": "US",
"telephone_number": "573-629-3223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HATLELI",
"first_name": "LAURALEE",
"middle_name": "VIRGINIA",
"name_prefix": "Mrs.",
"credential": "MED, LAT, ATC, CEAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-04",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36002460A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURALEE",
"last_name": "WILLIAMS",
"middle_name": "VIRGINIA",
"prefix": "MISS",
"credential": "MED, LAT, ATC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.