Active NPI
John David McCune, ATC
- Athletic Trainer
- Newport News, VA
National Provider Identifier
1629137120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126002684
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MT00102600 | NJ | MD | Athletic Trainer |
| 0126002684 | VA | MD | Athletic 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.