Individual provider Active NPI

John David McCune, ATC

  • Athletic Trainer
  • Newport News, VA
National Provider Identifier
1629137120
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0126002684 Issued in VA
Practice address
1 Avenue of the Arts
Ratcliffe Hall
Newport News, VA 23606-2360
Phone
(732) 921-7166
Fax
(757) 594-8737
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 25MT00102600 NJ
Athletic Trainer 2255A2300X 0126002684 VA Primary

Addresses

Primary practice location

1 Avenue of the Arts
Ratcliffe Hall
Newport News, VA 23606-2360

Mailing address

890 Holbrook Dr
Newport News, VA 23602-8917
Phone (757) 594-7787

Other practice location 1

1 Scarlet Knight Way
Hale Center
Piscataway, NJ 08854-8069
Phone (732) 445-6234

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
25MT00102600NJMDAthletic Trainer
0126002684VAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1629137120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 HOLBROOK DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236028917",
            "telephone_number": "757-594-7787",
            "fax_number": "757-594-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AVENUE OF THE ARTS",
            "address_2": "RATCLIFFE HALL",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062360",
            "telephone_number": "732-921-7166",
            "fax_number": "757-594-8737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Scarlet Knight Way",
            "address_2": "Hale Center",
            "address_purpose": "LOCATION",
            "city": "Piscataway",
            "state": "NJ",
            "postal_code": "088548069",
            "country_code": "US",
            "telephone_number": "732-445-6234",
            "fax_number": "732-445-1005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCUNE",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00102600",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.