Individual provider Active NPI

Lindsey Elizabeth Eberman, MS, ATC, LAT

  • Athletic Trainer
  • Miami, FL
National Provider Identifier
1750309654
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AL 1594 Issued in FL
Practice address
11200 SW 8TH St
Up, Zeb 251a
Miami, FL 33199-0001
Phone
(786) 261-3582
Fax
(305) 348-3571
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL 1594 FL Primary

Addresses

Primary practice location

11200 SW 8TH St
Up, Zeb 251a
Miami, FL 33199-0001

Mailing address

5225 NE 2ND CT
Apt. 4
Miami, FL 33137-2856
Phone (786) 261-3582

Other identifiers 2

IdentifierTypeStateIssuer
0270482460OtherFLPROVIDER INSURANCE
AL-1594OtherFLLICENSE

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 Science

State licenses

LicenseStateTypeSpecialty
AL 1594FLMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750309654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 NE 2ND CT",
            "address_2": "APT. 4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372856",
            "telephone_number": "786-261-3582",
            "fax_number": "305-348-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 SW 8TH ST",
            "address_2": "UP, ZEB 251A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331990001",
            "telephone_number": "786-261-3582",
            "fax_number": "305-348-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERMAN",
        "first_name": "LINDSEY",
        "middle_name": "ELIZABETH",
        "credential": "MS, ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 1594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER INSURANCE",
            "identifier": "0270482460",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AL-1594",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

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.

Verify at the official NPI Registry.