Active NPI
Lance McConnell
- Athletic Trainer
- Anniston, AL
National Provider Identifier
1881136356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 492
- Practice address
- 2111 Hwy78E Suite 2
Anniston, AL 36207 - Phone
- (256) 832-1988
- Fax
- (256) 832-1966
- NPI assigned
- Nov 15, 2016
- Sex
- Male
- 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 | 492 | AL | Primary |
Addresses
Primary practice location
2111 Hwy78E Suite 2
Anniston, AL 36207
Mailing address
150 Noah LN
Oxford, AL 36203
Phone (256) 493-2812
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479168000000",
"number": "1881136356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 NOAH LN",
"city": "OXFORD",
"state": "AL",
"postal_code": "36203",
"telephone_number": "256-493-2812",
"fax_number": "256-832-1966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 HWY78E SUITE 2",
"city": "ANNISTON",
"state": "AL",
"postal_code": "36207",
"telephone_number": "256-832-1988",
"fax_number": "256-832-1966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONNELL",
"first_name": "LANCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-15",
"last_updated": "2016-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anniston, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.