Tracy Lynn Lenoir, LAT,ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT004187 Issued in PA

Practice address

1010 Echo TRL
Easton, PA 18040-1020

Phone

(610) 250-2460

Fax

(610) 250-2613

NPI assigned

Feb 10, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Tracy Lynn Ewer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1952849853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 PARDEE ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180421420",
            "telephone_number": "610-250-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 ECHO TRL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180401020",
            "telephone_number": "610-250-2460",
            "fax_number": "610-250-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENOIR",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LAT,ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT004187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "EWER",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "LAT,ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Melissa K Lennox
• Donna M Leon, M.S.
• Nitza Magally Leon, MA
• Erica Lett
• Emily Levenson, DO
• Linda S. Lewis, D.D.S.

• Athletic Trainer in Easton, PA
• Providers in Easton, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.