Kathryn Lee Maclucas, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1040 Issued in TN

Practice address

4180 Weaver Pike
Sullivan East High School
Bluff City, TN 37618-2031

Phone

(423) 416-2121

Fax

(423) 354-1906

NPI assigned

Nov 14, 2008

Last updated

Nov 14, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226620800000",
    "number": "1528212677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 LINCOLN AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044451",
            "telephone_number": "423-483-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 WEAVER PIKE",
            "address_2": "SULLIVAN EAST HIGH SCHOOL",
            "city": "BLUFF CITY",
            "state": "TN",
            "postal_code": "376182031",
            "telephone_number": "423-416-2121",
            "fax_number": "423-354-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLUCAS",
        "first_name": "KATHRYN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "1040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Dylan Greene, OT
• Michael E Hill, NP-C
• Kristy Renee Houghton, FNP
• Arlene Kellum, DDS
• Andrew Monteith Macconnell, DDS, MIIF, DABOI/ID
• Lisa Janet Malone, RN
• Jayson Andrew Marcarelli, DO
• Pedram Mir Aghazadeh, DMD
• Logan Chayse Nutter
• Kaushal Patel, DDS

• Athletic Trainer in Bluff City, TN
• Providers in Bluff City, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.