Active NPI
Lily Ann Estevez
- Athletic Trainer
- Greensboro, NC
National Provider Identifier
1942844436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT-4627
- Practice address
- 203 McAdoo Ave Apt 2a
Greensboro, NC 27406-1763 - Phone
- (862) 354-2326
- NPI assigned
- Oct 29, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | LAT-4627 | NC | Primary |
Addresses
Primary practice location
203 McAdoo Ave Apt 2a
Greensboro, NC 27406-1763
Mailing address
203 McAdoo Ave Apt 2a
Greensboro, NC 27406-1763
Phone (862) 354-2326
Other practice location 1
155 Merriam Ave
Newton, NJ 07860-2423
Phone (862) 354-2326
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | laestevez@uncg.edu | Direct |
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 |
|---|---|---|---|
| LAT-4627 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1942844436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 MCADOO AVE APT 2A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274061763",
"telephone_number": "862-354-2326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 MCADOO AVE APT 2A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274061763",
"telephone_number": "862-354-2326"
}
],
"practiceLocations": [
{
"address_1": "155 Merriam Ave",
"address_purpose": "LOCATION",
"city": "Newton",
"state": "NJ",
"postal_code": "078602423",
"country_code": "US",
"telephone_number": "862-354-2326",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESTEVEZ",
"first_name": "LILY",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-29",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-4627",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "laestevez@uncg.edu",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "203 McAdoo Ave Apt 2A",
"city": "Greensboro",
"state": "NC",
"country_code": "US",
"postal_code": "274061763",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.