Jacquelyn Marie McCann, MS, ATC, PES, CES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

639 Howard Rd
West Point, NY 10996-1510

Phone

(845) 938-2393

NPI assigned

Jun 28, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498608000000",
    "number": "1154842367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 HOWARD RD",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 HOWARD RD",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961510",
            "telephone_number": "845-938-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "JACQUELYN",
        "middle_name": "MARIE",
        "credential": "MS, ATC, PES, CES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2017-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Maby, DO
• Erin Madden, ATC
• Joseph Charles Marasia, PH.D.
• Kayla Elizabeth Marthy, FNP-BC
• Tara Catherine Martin, MS, ATC
• Karen McDermott, CLC
• Jillian McGovern, PHARMD
• Marguerite Mary McGuigan-Shuster, MD
• Patrick Miller
• Elliott Ilya Mitnik, D.O.

• Athletic Trainer in West Point, NY
• Providers in West Point, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; 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.