Lisa E Spors, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0334 Issued in SD

Practice address

2820 Hper Center
South Dakota State University
Brookings, SD 57007-1497

Phone

(605) 688-5996

Fax

(605) 688-5999

NPI assigned

Dec 17, 2009

Last updated

Dec 17, 2009By 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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Dakota State University

  • Athletic Trainer
  • Brookings, SD
  • NPI 1053864504
  NPD (past)

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1902135106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 HPER CENTER",
            "address_2": "SOUTH DAKOTA STATE UNIVERSITY",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570071497",
            "telephone_number": "605-688-5996",
            "fax_number": "605-688-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 HPER CENTER",
            "address_2": "SOUTH DAKOTA STATE UNIVERSITY",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570071497",
            "telephone_number": "605-688-5996",
            "fax_number": "605-688-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPORS",
        "first_name": "LISA",
        "middle_name": "E",
        "credential": "MS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SD",
            "license": "0334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Sara Miller Smith, DNP, APRN, FNP-C
• Erin Snaza-Meyer, CNP
• South Dakota State University
• South Dakota State University
• Spectrum Kids
• Anne Jean Steffen, DDS
• Alicia Sterud
• Bridget Stewart
• Stillpoint LLC
• Amy J Stoel, MA,CCC,SLP

• Athletic Trainer in Brookings, SD
• Providers in Brookings, SD by specialty
• Athletic Trainer in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.