Zachary Edward Macklin, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

LAT-2626 Issued in NC

Practice address

1600 Brewer Rd
Winston Salem, NC 27127-3857

Phone

(336) 408-6944

NPI assigned

Apr 30, 2022

Last updated

Apr 30, 2022By the provider in NPPES

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

Electronic endpoints 1

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": "1651276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651276800000",
    "number": "1588309926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 LAKE SHORE RESERVE CT",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272840141",
            "telephone_number": "336-662-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BREWER RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271273857",
            "telephone_number": "336-408-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKLIN",
        "first_name": "ZACHARY",
        "middle_name": "EDWARD",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-30",
        "last_updated": "2022-04-30",
        "certification_date": "2022-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-2626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "intranet.wakehealth.edu",
            "affiliation": "Y",
            "affiliationName": "Wake Forest Baptist Health",
            "address_1": "6630 Shallowford Rd",
            "city": "Lewisville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270239504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Ryan Mack, MD
• Caroline Whitehill Mackellar, PA
• Heather Thompson Mackey, ANP
• Samuel Julian Mackie
• Nicholas Wayne Macklin, M.D.
• Courteney Mackuen, M.D.
• Mikhaila Theresa Maclaren
• Kerry Macleod
• Gay Macon, LCSW
• Cecilie Macosko, MD

• Athletic Trainer in Winston Salem, NC
• Providers in Winston Salem, 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 Apr 30, 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.

Verify at the official NPI Registry.