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Deactivated NPI 1841787553 Deactivated / Inactive NPI Female Practitioner

Eternity Victoria Lee , LAT, ATC

Specialist/Technologist - Athletic Trainer • Brownsburg, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Eternity Lee has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 18, 2018
NPI Deactivation Date April 01, 2021
Total Practice Duration ~3 Years of Practice (2018 – 2021)

Professional Overview & Biography Verified Profile Summary

Eternity Lee, LAT, ATC was a registered Specialist/Technologist - Athletic Trainer practicing in Brownsburg, IN. Throughout an active medical career spanning 3 years, Eternity Lee provided care at the practice location at 1555 S ODELL ST until profile deactivation on 2021-04-01.

Practice Location & Contact Primary Location

Practice Address

1555 S Odell St

Brownsburg, IN 461128041

Telephone 3174570906

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Brownsburg, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Brownsburg, IN (1604 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-11-10
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License IN 36003455A

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location November 10, 2021

Registered at 1555 S ODELL ST, BROWNSBURG, IN 461128041 (Tel: 3174570906)

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Updated Business Mailing Address November 10, 2021

Registered at 615 ASPIRE CT APT 105, PLAINFIELD, IN 461685665

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Provider Name / Credentials Updated November 10, 2021

Recorded as ETERNITY LEE, LAT, ATC

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2021

Specialist/Technologist (License #36003455A in IN)

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NPI Profile Deactivated April 01, 2021

Record deactivated on April 01, 2021

NPI Profile Active April 18, 2018

NPI status registered as active in NPPES database

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Updated Practice Location April 18, 2018

Registered at 2000 W UNIVERSITY AVE, MUNCIE, IN 473061022 (Tel: 7652891241)

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Updated Business Mailing Address April 18, 2018

Registered at 10918 GREEN MEADOW PL, INDIANAPOLIS, IN 462293533

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Provider Name / Credentials Updated April 18, 2018

Recorded as ETERNITY LEE

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2018

Specialist/Technologist

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Initial NPI Registration & Enumeration April 18, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841787553
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2018
Last Update: November 10, 2021
Deactivation Date: April 01, 2021
Sole Proprietor: No

Mailing Address

615 Aspire Ct Apt 105

Plainfield, IN 461685665

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.