Active NPI
Laura Elizabeth Vien, LAT, ATC
- Athletic Trainer
- Detroit, MI
National Provider Identifier
1922583301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2601002098
- Practice address
- 22101 Moross Rd
Detroit, MI 48236-2148 - Phone
- (866) 501-3627
- Fax
- (313) 343-8724
- NPI assigned
- Oct 1, 2018
- 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 | 2601002098 | MI | Primary |
Addresses
Primary practice location
22101 Moross Rd
Detroit, MI 48236-2148
Mailing address
2770 Upper Ridge Dr Apt 11
Rochester Hills, MI 48307-4480
Phone (813) 600-0711
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2601002098 | MI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538352000000",
"number": "1922583301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2770 UPPER RIDGE DR APT 11",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483074480",
"telephone_number": "813-600-0711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22101 MOROSS RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482362148",
"telephone_number": "866-501-3627",
"fax_number": "313-343-8724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIEN",
"first_name": "LAURA",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-01",
"last_updated": "2018-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": "2601002098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.