Myra Ann Stockdale, DHSC, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT1347 Issued in KY

Practice address

2001 Newburg Rd
Louisville, KY 40205-1863

Phone

(502) 272-7614

NPI assigned

Feb 17, 2006

Last updated

Apr 9, 2017By 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 2

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491696000000",
    "number": "1245205905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 E GRUNDY AVE",
            "city": "SPRINGFIELD",
            "state": "KY",
            "postal_code": "400691114",
            "telephone_number": "812-599-1263",
            "fax_number": "502-272-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 NEWBURG RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051863",
            "telephone_number": "502-272-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKDALE",
        "first_name": "MYRA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DHSC, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2017-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36000285A",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "AT1347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Lauren Stivers, MS, CCC-SLP
• Stacey Lankheit Stivers, MD
• STL Behavioral Health Individual & Family Services
• Katharine Stoate, MS, CGC
• Joseph William Stockdale
• Abigail Melissa Stocker, M.D.
• Carol Frances Stocker
• Frederick J Stocker Jr., MD
• Michael David Stocker, MD
• Tanya Stockhammer, PH.D.

• Athletic Trainer in Louisville, KY
• Providers in Louisville, KY by specialty
• Athletic Trainer in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.