Individual provider Active NPI

Michelle Lomonaco

  • Athletic Trainer
  • Charleston, SC
National Provider Identifier
1437566478
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
699 Issued in SC
Practice address
171 Moultrie St
Sports Medicine Department
Charleston, SC 29409-0001
Phone
(843) 953-2251
Fax
(843) 953-6727
NPI assigned
Jul 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 699 SC Primary

Addresses

Primary practice location

171 Moultrie St
Sports Medicine Department
Charleston, SC 29409-0001

Mailing address

171 Moultrie St
Sports Medicine Department
Charleston, SC 29409-0001
Phone (843) 953-2251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1437566478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MOULTRIE ST",
            "address_2": "SPORTS MEDICINE DEPARTMENT",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294090001",
            "telephone_number": "843-953-2251",
            "fax_number": "843-953-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 MOULTRIE ST",
            "address_2": "SPORTS MEDICINE DEPARTMENT",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294090001",
            "telephone_number": "843-953-2251",
            "fax_number": "843-953-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMONACO",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.