Individual provider Active NPI

Tyler James Lamonica, MS, ATC

  • Athletic Trainer
  • Gainesville, FL
National Provider Identifier
1902532666
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
003542-01 Issued in NY
Practice address
3450 Hull Rd
Gainesville, FL 32611-1098
Phone
(352) 273-9823
Fax
(352) 273-7395
NPI assigned
Jul 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 003542-01 NY Primary

Addresses

Primary practice location

3450 Hull Rd
Gainesville, FL 32611-1098

Mailing address

506 SE Sanchez Ave
Ocala, FL 34471-3827
Phone (716) 708-3687

Other practice location 1

506 SE Sanchez Ave
Ocala, FL 34471-3827
Phone (716) 708-3687

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

LicenseStateTypeSpecialty
003542-01NYMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1902532666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 SE SANCHEZ AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344713827",
            "telephone_number": "716-708-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 HULL RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326111098",
            "telephone_number": "352-273-9823",
            "fax_number": "352-273-7395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 SE Sanchez Ave",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344713827",
            "country_code": "US",
            "telephone_number": "716-708-3687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMONICA",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MS, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-26",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "003542-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.