Individual provider Active NPI

Meghan C. Melinchak, ATC, LAT, AIB-VR/CON

  • Athletic Trainer
  • Annapolis, MD
National Provider Identifier
1154793503
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
A0001242 Issued in MD
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

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
A0001242MDMDAthletic Trainer
0126001774VAMDAthletic 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.

Verify at the official NPI Registry.