Active NPI
Lindsay Megan Frederick, ATC
- Athletic Trainer
- Schaumburg, IL
National Provider Identifier
1063742831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 096002481
- Practice address
- 1002 N Plum Grove Rd
Apartment 311
Schaumburg, IL 60173-4678 - Phone
- (815) 222-3976
- NPI assigned
- Dec 30, 2009
- 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 | 096002481 | IL | Primary |
Addresses
Primary practice location
1002 N Plum Grove Rd
Apartment 311
Schaumburg, IL 60173-4678
Mailing address
1002 N Plum Grove Rd
Apartment 311
Schaumburg, IL 60173-4678
Phone (815) 222-3976
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 |
|---|---|---|---|
| 096002481 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262131200000",
"number": "1063742831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 N PLUM GROVE RD",
"address_2": "APARTMENT 311",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601734678",
"telephone_number": "815-222-3976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 N PLUM GROVE RD",
"address_2": "APARTMENT 311",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601734678",
"telephone_number": "815-222-3976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICK",
"first_name": "LINDSAY",
"middle_name": "MEGAN",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-30",
"last_updated": "2009-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096002481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.