Meredith Waln, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL4255 Issued in FL

Practice address

3351 Hendricks Ave
Jacksonville, FL 32207-5301

Phone

(904) 402-4399

NPI assigned

Oct 6, 2021

Last updated

Oct 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1639831647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10023 BELLE RIVE BLVD APT 1109",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569579",
            "telephone_number": "239-878-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 HENDRICKS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075301",
            "telephone_number": "904-402-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALN",
        "first_name": "MEREDITH",
        "name_prefix": "Miss",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL4255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatah Abdul Wallizada, M.D.
• Alyssa Walls
• Lynda Smith Walls, PH.D.
• Regina Yvette Walls, LCSW
• Takiyah Walls, PHARM.D.
• Rosalie A Walo, DDS
• Briana Walsh-Neeld
• Elizabeth Morgan Walsh, M.D.
• James Walsh, DO
• James Timothy Walsh, MD

• Athletic Trainer in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.