Active NPI
Meagan Sebrell
- Athletic Trainer
- Tiffin, OH
National Provider Identifier
1033593496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT.004290
- Practice address
- 2550 S. Sr. 100
Tiffin, OH 44883 - Phone
- (419) 447-7203
- Fax
- (419) 447-5577
- NPI assigned
- Jul 16, 2015
- Last updated
- Jul 16, 2015
- 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 | AT.004290 | OH | Primary |
Addresses
Primary practice location
2550 S. Sr. 100
Tiffin, OH 44883
Mailing address
PO Box 833
Tiffin, OH 44883
Phone (419) 447-7203
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
| License | State | Type | Specialty |
|---|---|---|---|
| AT.004290 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437004800000",
"number": "1033593496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 833",
"city": "TIFFIN",
"state": "OH",
"postal_code": "44883",
"telephone_number": "419-447-7203",
"fax_number": "419-447-5577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 S. SR. 100",
"city": "TIFFIN",
"state": "OH",
"postal_code": "44883",
"telephone_number": "419-447-7203",
"fax_number": "419-447-5577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEBRELL",
"first_name": "MEAGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-16",
"last_updated": "2015-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT.004290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tiffin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.