Active NPI
Elizabeth Anne Lewis, MA, ATC, LAT
- Athletic Trainer
- Dayton, TN
National Provider Identifier
1962818567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1501
- Practice address
- 721 Bryan Dr
Dayton, TN 37321-6275 - Phone
- (423) 775-7254
- Fax
- (423) 775-7487
- NPI assigned
- Jul 3, 2014
- 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 | 1501 | TN | Primary |
Addresses
Primary practice location
721 Bryan Dr
Dayton, TN 37321-6275
Mailing address
721 Bryan Dr # 7813
Dayton, TN 37321-6275
Phone (423) 775-7254
Other names 1
- Elizabeth Anne Smith
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1501 | TN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1962818567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 BRYAN DR # 7813",
"city": "DAYTON",
"state": "TN",
"postal_code": "373216275",
"telephone_number": "423-775-7254",
"fax_number": "423-775-7487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 BRYAN DR",
"city": "DAYTON",
"state": "TN",
"postal_code": "373216275",
"telephone_number": "423-775-7254",
"fax_number": "423-775-7487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"credential": "MA, ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-03",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "1501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "SMITH",
"middle_name": "ANNE",
"credential": "MA, ATC, LAT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dayton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.