Active NPI
Lyndsay Lee Sullivan, ATC
- Athletic Trainer
- Franklin, TN
National Provider Identifier
1801901525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1123
- Practice address
- 206 Bedford Way
Franklin, TN 37064-5526 - Phone
- (615) 790-3290
- Fax
- (615) 794-8845
- NPI assigned
- Aug 20, 2006
- 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 | 1123 | TN | Primary |
Addresses
Primary practice location
206 Bedford Way
Franklin, TN 37064-5526
Mailing address
206 Bedford Way
Franklin, TN 37064-5526
Phone (615) 790-3290
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 |
|---|---|---|---|
| 1123 | TN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1801901525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 BEDFORD WAY",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370645526",
"telephone_number": "615-790-3290",
"fax_number": "615-794-8845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 BEDFORD WAY",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370645526",
"telephone_number": "615-790-3290",
"fax_number": "615-794-8845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "LYNDSAY",
"middle_name": "LEE",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "1123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.