Individual provider Active NPI

Meghan Elizabeth Fox, ATC

  • Athletic Trainer
  • Allendale, MI
National Provider Identifier
1053700054
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2601001245 Issued in MI
Practice address
1 Campus Dr
Allendale, MI 49401-9401
Phone
(616) 331-8541
NPI assigned
Jan 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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 2601001245 MI Primary

Addresses

Primary practice location

1 Campus Dr
Allendale, MI 49401-9401

Mailing address

2280 Rosewood St
Jenison, MI 49428-8171

Other practice location 1

1603 N Hayford Ave
Lansing, MI 48912-3407
Phone (931) 286-0866

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address foxmeg1@gvsu.edu

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
2601001245MIMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Valley State University PastSince Sep 8, 2019 Accepting new patients
Grand Valley State University PastSince Sep 8, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1053700054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 ROSEWOOD ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494288171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CAMPUS DR",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019401",
            "telephone_number": "616-331-8541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1603 N Hayford Ave",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489123407",
            "country_code": "US",
            "telephone_number": "931-286-0866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "MEGHAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-13",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "foxmeg1@gvsu.edu",
            "affiliation": "N",
            "address_1": "1 Campus Dr",
            "city": "Allendale",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494019401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allendale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.