John Meredith Plunkett

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

108 Lakeside Dr
Edenton, NC 27932-2059

Phone

(804) 240-1138

NPI assigned

Aug 4, 2021

Sex

Male

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

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1285308247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LAKESIDE DR",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279322059",
            "telephone_number": "804-240-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LAKESIDE DR",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279322059",
            "telephone_number": "804-240-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUNKETT",
        "first_name": "JOHN",
        "middle_name": "MEREDITH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jalisa B. Parrish, DDS
• John Christopher Perry, M.D.
• Julia Mills Perry, LCSW
• Mia Lekendra Peterson Spencer, FNP-C
• Heather Elysia Pfahlert, P.A.
• Rachel'S House
• Elizabeth Dawn Reed, LISW-S
• Joanna Reed, LCMHC-A
• Robert Gale Reiheld, M.D.
• Bartholomew J Resta, MD

• Athletic Trainer in Edenton, NC
• Providers in Edenton, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.