Katie Lynn Mulligan Smith, AT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601001034 Issued in MI

Practice address

1968 Lac Du Mont
Haslett, MI 48840-9506

Phone

(248) 719-2081

NPI assigned

Mar 19, 2019

Last updated

Mar 19, 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

Other names 1

• Katie Lynn Mulligan Former name

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1215496153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 LAC DU MONT",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488409506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 LAC DU MONT",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488409506",
            "telephone_number": "248-719-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIGAN SMITH",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "credential": "AT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "MULLIGAN",
            "middle_name": "LYNN",
            "credential": "AT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Morrow-Morrow DDS PC
• Morrow-Morrow DDS PC
• Donald Gregory Morrow, D.D.S.
• Melissa Ann Morrow, DDS
• Paul Eric Morrow, D.C.
• Nancy J Shannon MD PHD PLLC (Advanced Health & Image)
• Renee Marie Nichols, M.A. LLPC
• Katie L Nixon, PT, DPT
• Joelle Nicole Olson, RDN
• Bethany Ann Owusu, D.C.

• Athletic Trainer in Haslett, MI
• Providers in Haslett, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.