Individual provider Active NPI

Paul Anthony Lerner, A.T.C.

  • Athletic Trainer
  • Chesapeake, VA
National Provider Identifier
1992192124
Registry record updated Apr 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0126000345 Issued in VA
Practice address
405 Camberley Way Apt F
Chesapeake, VA 23320-4971
Phone
(757) 630-6421
NPI assigned
Apr 26, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0126000345 VA Primary

Addresses

Primary practice location

405 Camberley Way Apt F
Chesapeake, VA 23320-4971

Mailing address

637 Kingsborough SQ Ste F
Chesapeake, VA 23320-4944
Phone (757) 547-7554

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

LicenseStateTypeSpecialty
0126000345VAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1430006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430006400000",
    "number": "1992192124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 KINGSBOROUGH SQ STE F",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204944",
            "telephone_number": "757-547-7554",
            "fax_number": "757-548-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 CAMBERLEY WAY APT F",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204971",
            "telephone_number": "757-630-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERNER",
        "first_name": "PAUL",
        "middle_name": "ANTHONY",
        "credential": "A.T.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-26",
        "last_updated": "2015-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126000345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2015; 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.