Christopher Shane McDonald, LAT, ATC, PES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1383 Issued in AL

Practice address

650 Joel Dr
Fort Campbell, KY 42223-8355

Phone

(251) 277-1912

NPI assigned

Jul 25, 2023

Sex

Male

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

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1457032336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N WATER ST APT 225",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366024005",
            "telephone_number": "251-277-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422238355",
            "telephone_number": "251-277-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "CHRISTOPHER",
        "middle_name": "SHANE",
        "name_prefix": "Mr.",
        "credential": "LAT, ATC, PES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-25",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "1383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane McCarty, DMD
• Kenneth Michael McClellan
• Kayla Marie McCormick, RN
• Kathleen Marie McCullough
• Maureen McDade, LPN
• Mark Newton McDonald, DMD
• John Lee McDonough, M.D.
• Carletta Lemonia McDowell, PSYCHOLOGIST
• Seth McDowell
• Tawanna Michelle McGhee, DDS

• Athletic Trainer in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• Athletic Trainer in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.