Individual provider Active NPI

Michelle M McLeod, ATC, LAT

  • Athletic Trainer
  • Chapel Hill, NC
National Provider Identifier
1073522231
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1141 Issued in NC
Practice address
University of North Carolina at Chapel HL
Fetzer Gymnasium
Chapel Hill, NC 27599-8700
Phone
(919) 962-2067
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1141 NC Primary

Addresses

Primary practice location

University of North Carolina at Chapel HL
Fetzer Gymnasium
Chapel Hill, NC 27599-8700

Mailing address

180 BPW Club Rd
Apt F10
Carrboro, NC 27510-2589
Phone (319) 230-8115

Other identifiers 1

IdentifierTypeStateIssuer
1141OtherNCNC STATE LICENSURE

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

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073522231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 BPW CLUB RD",
            "address_2": "APT F10",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102589",
            "telephone_number": "319-230-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF NORTH CAROLINA AT CHAPEL HL",
            "address_2": "FETZER GYMNASIUM",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275998700",
            "telephone_number": "919-962-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "1141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE LICENSURE",
            "identifier": "1141",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.