Active NPI
Meghan C. Melinchak, ATC, LAT, AIB-VR/CON
- Athletic Trainer
- Annapolis, MD
National Provider Identifier
1154793503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A0001242
- Practice address
- 121 Blake Rd
Annapolis, MD 21402-1300 - Phone
- (724) 331-0260
- NPI assigned
- Oct 26, 2015
- 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 | 0126001774 | VA | |
| Athletic Trainer | 2255A2300X | A0001242 | MD | Primary |
Addresses
Primary practice location
121 Blake Rd
Annapolis, MD 21402-1300
Mailing address
121 Blake Rd
Annapolis, MD 21402-1300
Other practice location 1
401 N Main St
215 Cameron Hall
Lexington, VA 24450-2652
Phone (540) 460-8664
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 |
|---|---|---|---|
| A0001242 | MD | MD | Athletic Trainer |
| 0126001774 | VA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1154793503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 BLAKE RD",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214021300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 BLAKE RD",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214021300",
"telephone_number": "724-331-0260"
}
],
"practiceLocations": [
{
"address_1": "401 N Main St",
"address_2": "215 Cameron Hall",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "VA",
"postal_code": "244502652",
"country_code": "US",
"telephone_number": "540-460-8664",
"fax_number": "540-464-7280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELINCHAK",
"first_name": "MEGHAN",
"middle_name": "C.",
"credential": "ATC, LAT, AIB-VR/CON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-26",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126001774",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MD",
"license": "A0001242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.