Breanna McLane, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

LAT-3583 Issued in NC

Practice address

1219 Broad St
Durham, NC 27705-3577

Phone

(413) 348-1944

NPI assigned

Aug 28, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1477009736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 HARRISBURG LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276067414",
            "telephone_number": "413-348-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053577",
            "telephone_number": "413-348-1944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 East Legacy Plaza",
            "address_purpose": "LOCATION",
            "city": "LaPorte",
            "state": "IN",
            "postal_code": "46350",
            "country_code": "US",
            "telephone_number": "413-348-1944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLANE",
        "first_name": "BREANNA",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36002446A",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-3583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Joelle McKoy, PHARMD
• Katherine McKoy, LCSWA
• John McLain, LCSW
• Ahmoni McLamb
• Lori Ann McLamb, P.A.
• Richard Daniel McLane, MD
• Beverly Anne McLaughlin, PH.D.
• Colleen Anne McLaughlin, N.P.
• Kasey Elizabeth Tucker McLaughlin, DNP, CRNA
• Kelly L McLaughlin, P.T., ATC

• Athletic Trainer in Durham, NC
• Providers in Durham, NC by specialty
• Athletic Trainer in North Carolina

• 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.