Individual provider Active NPI

Megan E Guicheteau, ATC, DHSC

  • Athletic Trainer
  • Ewing, NJ
National Provider Identifier
1609944164
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
25MT00096000 Issued in NJ
Practice address
2000 Pennington Rd
Ewing, NJ 08618-1104
Phone
(609) 771-3402
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 25MT00096000 NJ Primary

Addresses

Primary practice location

2000 Pennington Rd
Ewing, NJ 08618-1104

Mailing address

2000 Pennington Rd
Ewing, NJ 08618-1104
Phone (609) 771-3402

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

LicenseStateTypeSpecialty
25MT00096000NJMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609944164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PENNINGTON RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086181104",
            "telephone_number": "609-771-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PENNINGTON RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086181104",
            "telephone_number": "609-771-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUICHETEAU",
        "first_name": "MEGAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "ATC, DHSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00096000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.