Active NPI
Stephanie Ann Lewis, ATC
- Athletic Trainer
- Laurel, MD
National Provider Identifier
1982826871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 9200 Powder Mill Rd
Laurel, MD 20708-9765 - Phone
- (231) 720-5263
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
9200 Powder Mill Rd
Laurel, MD 20708-9765
Mailing address
1994 Camp RDG
Twin Lake, MI 49457-8970
Phone (231) 720-5263
Other practice location 1
17700 Dominican Dr
Dumfries, VA 22026-2768
Phone (231) 720-5263
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1982826871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1994 CAMP RDG",
"city": "TWIN LAKE",
"state": "MI",
"postal_code": "494578970",
"telephone_number": "231-720-5263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 POWDER MILL RD",
"city": "LAUREL",
"state": "MD",
"postal_code": "207089765",
"telephone_number": "231-720-5263"
}
],
"practiceLocations": [
{
"address_1": "17700 Dominican Dr",
"address_purpose": "LOCATION",
"city": "Dumfries",
"state": "VA",
"postal_code": "220262768",
"country_code": "US",
"telephone_number": "231-720-5263",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.