Active NPI
Lisa A. Branzel, A.T.,C
- Athletic Trainer
- Galena, OH
National Provider Identifier
1811205263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT001215
- Practice address
- 7140 Marrisey Loop
Galena, OH 43021-7015 - Phone
- (740) 913-0101
- NPI assigned
- Sep 20, 2010
- 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 | AT001215 | OH | Primary |
Addresses
Primary practice location
7140 Marrisey Loop
Galena, OH 43021-7015
Mailing address
7140 Marrisey Loop
Galena, OH 43021-7015
Phone (740) 913-0101
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 |
|---|---|---|---|
| AT001215 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410825600000",
"number": "1811205263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7140 MARRISEY LOOP",
"city": "GALENA",
"state": "OH",
"postal_code": "430217015",
"telephone_number": "740-913-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7140 MARRISEY LOOP",
"city": "GALENA",
"state": "OH",
"postal_code": "430217015",
"telephone_number": "740-913-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANZEL",
"first_name": "LISA",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "A.T.,C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-20",
"last_updated": "2014-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT001215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galena, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.