Melissa Loewen, MED, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT0847 Issued in MS

Practice address

7407 Highway 11
Carriere, MS 39426-7484

Phone

(601) 569-0687

NPI assigned

Mar 7, 2018

Last updated

Mar 17, 2018By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1407358146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 WHITE CHAPEL RD",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394269296",
            "telephone_number": "601-569-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7407 HIGHWAY 11",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394267484",
            "telephone_number": "601-569-0687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7391 Highway 11",
            "address_purpose": "LOCATION",
            "city": "Carriere",
            "state": "MS",
            "postal_code": "394267577",
            "country_code": "US",
            "telephone_number": "601-569-0687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOEWEN",
        "first_name": "MELISSA",
        "credential": "MED, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MS",
            "license": "AT0847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Carriere, MS
• Providers in Carriere, MS by specialty
• Athletic Trainer in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.