Taylor Minderlein, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A0000878 Issued in MD

Practice address

1 Seahawk Dr
North East, MD 21901-1900

Phone

(443) 617-9246

NPI assigned

Nov 14, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1134698657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4391 FEDERAL HILL RD",
            "city": "STREET",
            "state": "MD",
            "postal_code": "211541124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SEAHAWK DR",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219011900",
            "telephone_number": "443-617-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINDERLEIN",
        "first_name": "TAYLOR",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A0000878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPIRATORY, REHABILITATIVE AND RESTORATIVE",
            "identifier": "22",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Mathews, MA, LGPC, NCC
• Jeffrey Eades Maupin, P. T.
• Kenduanyi Menkem
• Kathleen Miller, PT
• Tyler Francis Miller
• MNR Industries, LLC (ExpressCare of North East)
• Moa Psychiatric Practice LLC
• Kay P Moore, PSYD
• Shana Moorefield, LGSW
• Constance Muller-Thym, LCSW-C

• Athletic Trainer in North East, MD
• Providers in North East, MD by specialty
• Athletic Trainer in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.