Active NPI
Crystal Lee Meeks, MS, ATC, LAT
- Athletic Trainer
- Warrensburg, MO
National Provider Identifier
1619611795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 415 E. Clark Street
University of Central Missouri
Warrensburg, MO 64093 - Phone
- (660) 441-0914
- NPI assigned
- Apr 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
415 E. Clark Street
University of Central Missouri
Warrensburg, MO 64093
Mailing address
415 E. Clark Street
University of Central Missouri
Warrensburg, MO 64093
Phone (660) 441-0914
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650844800000",
"number": "1619611795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 E. CLARK STREET",
"address_2": "UNIVERSITY OF CENTRAL MISSOURI",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "64093",
"telephone_number": "660-441-0914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 E. CLARK STREET",
"address_2": "UNIVERSITY OF CENTRAL MISSOURI",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "64093",
"telephone_number": "660-441-0914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEKS",
"first_name": "CRYSTAL",
"middle_name": "LEE",
"credential": "MS, ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-25",
"last_updated": "2022-04-25",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warrensburg, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.