Carol Lu McClaugherty, PTA, ATRIC

Primary specialty

Health Information Specialist/TechnologistTaxonomy code 246Y00000X

License

AT 1923 Issued in CA

Practice address

1663 Greenfield Dr
El Cajon, CA 92021-3520

Phone

(619) 440-5752

Fax

(619) 440-6861

NPI assigned

Feb 6, 2009

Sex

Female

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

• Carol Lu Treadwell Former 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": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233878400000",
    "number": "1629217112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 GREENFIELD DR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920213520",
            "telephone_number": "619-440-5752",
            "fax_number": "619-440-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 GREENFIELD DR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920213520",
            "telephone_number": "619-440-5752",
            "fax_number": "619-440-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAUGHERTY",
        "first_name": "CAROL",
        "middle_name": "LU",
        "name_prefix": "Miss",
        "credential": "PTA, ATRIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Y00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Health Information",
            "state": "CA",
            "license": "AT 1923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "TREADWELL",
            "middle_name": "LU",
            "credential": "PTA,ATRIC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren McAllen, BCABA
• Mallory McBroom
• Marcia McCall
• Matthew McCall, DPT
• Kerry McCarthy
• Shaina Lavette McClure
• Gwendelyne McCreesh
• Mitchell Scott McCubbin Jr.
• Emaley B. McCulloch, M.ED. BCBA
• Connor M McDaniel

• Health Information Specialist/Technologist in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Health Information Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.