Active NPI
Savanah Lee Mickey, LAT, ATC
- Athletic Trainer
- Fort Campbell, KY
National Provider Identifier
1447037270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2482
- Practice address
- 101St DSB, SPRC BLDG 6871
Fort Campbell, KY 44223 - Phone
- (270) 412-4853
- NPI assigned
- Sep 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2482 | AL | Primary |
Addresses
Primary practice location
101St DSB, SPRC BLDG 6871
Fort Campbell, KY 44223
Mailing address
11 Addison Park Dr NW Apt 206
Huntsville, AL 35806-1878
Phone (760) 519-0352
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2482 | AL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1447037270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 ADDISON PARK DR NW APT 206",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358061878",
"telephone_number": "760-519-0352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101ST DSB, SPRC BLDG 6871",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "44223",
"telephone_number": "270-412-4853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICKEY",
"first_name": "SAVANAH",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-14",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "2482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Campbell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.