Active NPI
Caitlyn McLeod, MSCN, ATC, LAT
- Athletic Trainer
- Pounding Mill, VA
National Provider Identifier
1588037626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 311908
- Practice address
- 130 Winter LN
Pounding Mill, VA 24637-1101 - Phone
- (276) 971-4905
- NPI assigned
- Nov 12, 2015
- Last updated
- Apr 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | NU | ||
| Athletic Trainer | 2255A2300X | 311908 | TN | Primary |
Addresses
Primary practice location
130 Winter LN
Pounding Mill, VA 24637-1101
Mailing address
130 Winter LN
Pounding Mill, VA 24637-1101
Other practice location 1
1800 Legion Dr
Kingsport, TN 37664-2658
Phone (423) 378-8537
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 |
|---|---|---|---|
| 311908 | TN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1588037626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 WINTER LN",
"city": "POUNDING MILL",
"state": "VA",
"postal_code": "246371101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 WINTER LN",
"city": "POUNDING MILL",
"state": "VA",
"postal_code": "246371101",
"telephone_number": "276-971-4905"
}
],
"practiceLocations": [
{
"address_1": "1800 Legion Dr",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376642658",
"country_code": "US",
"telephone_number": "423-378-8537",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLEOD",
"first_name": "CAITLYN",
"credential": "MSCN, ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-12",
"last_updated": "2022-04-07",
"certification_date": "2021-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "311908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pounding Mill, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.