Active NPI
Meghan Rose Pugh, DAT, LAT, ATC
- Military Health Care Provider
- Quantico, VA
National Provider Identifier
1093328775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- Practice address
- 24164 Belleau Ave
Quantico, VA 22134-5106 - Phone
- (808) 294-1026
- NPI assigned
- Aug 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AL6319 | FL | |
| Military Health Care Provider | 171000000X | Primary |
Addresses
Primary practice location
24164 Belleau Ave
Quantico, VA 22134-5106
Mailing address
1202 S Washington St Apt 119
Alexandria, VA 22314-4496
Phone (808) 294-1026
Other practice location 1
3450 Hull Rd
Gainesville, FL 32607-4144
Phone (352) 273-7002
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 |
|---|---|---|---|
| AL6319 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1093328775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 S WASHINGTON ST APT 119",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223144496",
"telephone_number": "808-294-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24164 BELLEAU AVE",
"city": "QUANTICO",
"state": "VA",
"postal_code": "221345106",
"telephone_number": "808-294-1026"
}
],
"practiceLocations": [
{
"address_1": "3450 Hull Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326074144",
"country_code": "US",
"telephone_number": "352-273-7002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUGH",
"first_name": "MEGHAN",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "DAT, LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-24",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL6319",
"primary": false
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quantico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.