Mandi Kianne Lee, MS, CDCA, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36001073A Issued in IN

Practice address

515 Dayton St
Hamilton, OH 45011-3455

Phone

(513) 896-3477

NPI assigned

Dec 15, 2006

Last updated

Dec 20, 2022By 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

State licenses

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1942362967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 EATON LEWISBURG RD APT C",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453201155",
            "telephone_number": "937-336-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 DAYTON ST",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450113455",
            "telephone_number": "513-896-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MANDI",
        "middle_name": "KIANNE",
        "name_prefix": "Mrs.",
        "credential": "MS, CDCA, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36001073A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Ledford
• Angela Diane Ledgerwood, PH.D.
• Alexis Lee, M.C.J.
• Charles R Lee, EDD
• Jessica Lee, MA, CCC-SLP
• Melinda Anne Lee
• Tammi Kay Lee
• Jeffery Karl Leibforth, DDS
• Molly Leibrook, LSW
• Kathryn Leighton

• Athletic Trainer in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.