Dan Patrick Dunleavy Jr., LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36001426A Issued in IN

Practice address

200 N 7TH St
Athletic Training Department C-06 Indiana State Univ
Terre Haute, IN 47809-1902

Phone

(812) 237-8232

Fax

(812) 237-4368

NPI assigned

Sep 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Daniel Patrick Dunleavy Jr. Professional name

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": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1619161577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 TIPPECANOE ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478072246",
            "telephone_number": "267-577-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 7TH ST",
            "address_2": "ATHLETIC TRAINING DEPARTMENT C-06 INDIANA STATE UNIV",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478091902",
            "telephone_number": "812-237-8232",
            "fax_number": "812-237-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLEAVY",
        "first_name": "DAN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36001426A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "DUNLEAVY",
            "middle_name": "PATRICK",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "LAT, ATC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Haylie Dugan, SLP
• Jaimee Patricia Dugger, CCC-SLP
• Lauren Dulay, FNP-BC, MSN, RN
• Daxton Duncan, NP
• Sheryl Dunigan, RBT
• Carmella Lynet Dunn, RPH
• Susan Dunn, PTA
• Jessica Durbin
• Vincent Ezenwa Duru, MS, BCBA
• Kaeleb Jordyn Dusenberry, RBT

• Athletic Trainer in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.