Active NPI
Ryan McNamara, ATC
- Athletic Trainer
- Lexington, KY
National Provider Identifier
1215440888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 277 Sports Center Drive
Lexington, KY 40502 - Phone
- (570) 394-3754
- NPI assigned
- Nov 6, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
277 Sports Center Drive
Lexington, KY 40502
Mailing address
923 Riverside Blvd
Nescopeck, PA 18635-1203
Phone (570) 394-3754
Other practice location 1
923 Riverside Blvd
Nescopeck, PA 18635-1203
Phone (570) 394-3754
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559088000000",
"number": "1215440888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 RIVERSIDE BLVD",
"city": "NESCOPECK",
"state": "PA",
"postal_code": "186351203",
"telephone_number": "570-394-3754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 SPORTS CENTER DRIVE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40502",
"telephone_number": "570-394-3754"
}
],
"practiceLocations": [
{
"address_1": "923 Riverside Blvd",
"address_purpose": "LOCATION",
"city": "Nescopeck",
"state": "PA",
"postal_code": "186351203",
"country_code": "US",
"telephone_number": "570-394-3754",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCNAMARA",
"first_name": "RYAN",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-06",
"last_updated": "2019-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.