Mackenzie Elizabeth-Rose McClelland

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

771 Chestnut Rd
East Lansing, MI 48824-3434

Phone

(517) 353-4412

NPI assigned

Nov 12, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

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": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1346842614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 E GREENLAWN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489103307",
            "telephone_number": "517-643-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 CHESTNUT RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488243434",
            "telephone_number": "517-353-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "MACKENZIE",
        "middle_name": "ELIZABETH-ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Elise Maynard
• Hassan Mazloum
• Rya McCann, LMSW
• Hannah McClain McConnell
• Kendra Renea McClaine
• Lois A. McCrone, M.A., LPC
• Blake McCullough, LMSW
• Stuart Richard McCullough
• Sandra Jane McCurdy, LM CPM
• Margaret Mae McDonald

• Athletic Trainer in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.