Active NPI
Lindsey Braddock, MS, LAT, ATC
- Athletic Trainer
- Greensboro, NC
National Provider Identifier
1871985697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT-2507
- Practice address
- 1130 N Church St
Suite 100
Greensboro, NC 27401-1038 - Phone
- (336) 375-2300
- NPI assigned
- Mar 3, 2015
- 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 | LAT-2507 | NC | Primary |
Addresses
Primary practice location
1130 N Church St
Suite 100
Greensboro, NC 27401-1038
Mailing address
4037 Alamance Church Rd
Liberty, NC 27298-9113
Phone (336) 207-3877
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
| License | State | Type | Specialty |
|---|---|---|---|
| LAT-2507 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425340800000",
"number": "1871985697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4037 ALAMANCE CHURCH RD",
"city": "LIBERTY",
"state": "NC",
"postal_code": "272989113",
"telephone_number": "336-207-3877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 N CHURCH ST",
"address_2": "SUITE 100",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011038",
"telephone_number": "336-375-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADDOCK",
"first_name": "LINDSEY",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-03",
"last_updated": "2015-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-2507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.