Autumn Brooke Meece, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36002936A Issued in IN

Practice address

5801 Meadows Dr Apt E
Fort Wayne, IN 46804-7639

Phone

(765) 561-2100

NPI assigned

Sep 19, 2018

Last updated

Sep 17, 2019By the provider in NPPES

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

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": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1194209791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 MEADOWS DR APT E",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047639",
            "telephone_number": "765-561-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 MEADOWS DR APT E",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047639",
            "telephone_number": "765-561-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 N Townline Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "IN",
            "postal_code": "467611325",
            "country_code": "US",
            "telephone_number": "260-347-2833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEECE",
        "first_name": "AUTUMN",
        "middle_name": "BROOKE",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36002936A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Mobility Inc
• Medical Mobility, LLC
• Medical Nutritional Therapists, Inc
• Medical Service Company (MSC Sleep Fort Wayne)
• Melissa Marlene Medlock, O.D.
• Thomas J Meehan
• Spencer D Meeks, AGPCNP-BC
• Todd D Meeks, DDS
• Indu Rekha Meesa, M.D.
• Sudheer K. Meesa, MD

• Athletic Trainer in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.