Lydia R Heebner, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT1310 Issued in KY

Practice address

1001 Cherry Blossom Way
Georgetown, KY 40324-9598

Phone

(502) 570-6572

NPI assigned

Sep 22, 2026

Last updated

Sep 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1831001924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY STE 120",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CHERRY BLOSSOM WAY",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249598",
            "telephone_number": "502-570-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEEBNER",
        "first_name": "LYDIA",
        "middle_name": "R",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "AT1310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Tyler Hayes, BS, BCABA
• Kyler Hays
• Healing Hands Inc
• Healthcore Family Practice, PLLC
• Healthy Hedgehog, PLLC
• Katherine Lynn Helly, LAT, ATC
• Jayden Henderson, LMT
• Robert W Henderson, DMD
• Brian Keith Hendrix, D.C.
• Taylor Henry, APRN

• Athletic Trainer in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Athletic Trainer in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.