Lauren McMillon, ATC, LAT, CES, ITAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A00047 Issued in MD

Practice address

580 Governor Ritchie Hwy
Suite E
Severna Park, MD 21146-3924

Phone

(443) 261-2243

Fax

(410) 384-1613

NPI assigned

Dec 28, 2016

Last updated

Dec 28, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ati Holding LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Severna Park, MD
  • NPI 1821573643
  NPD (past)

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1265977375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 GOVERNOR RITCHIE HWY",
            "address_2": "SUITE E",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463924",
            "telephone_number": "443-261-2243",
            "fax_number": "410-384-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 GOVERNOR RITCHIE HWY",
            "address_2": "SUITE E",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463924",
            "telephone_number": "443-261-2243",
            "fax_number": "410-384-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLON",
        "first_name": "LAUREN",
        "credential": "ATC, LAT, CES, ITAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A00047",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "DE",
            "license": "J3-0000415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica McGhee, LPC, LCPC
• Melissa McGurk, CRNA
• Kimberly McKay, LMSW
• Christy Marie McKinney
• Chandler McLemore
• Juliet Claire Medoff, R.N.
• Medstar Health Weight Management, LLC
• Medstar Health Weight Management, LLC
• Medstar Health Weight Management, LLC
• Caleigh Meek

• Athletic Trainer in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Athletic Trainer in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.