Megan Jane Lundstrom, EDD, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1628 Issued in MN

Practice address

225 S. Grand Ave
E213 Field House
Iowa City, IA 52242

Phone

(218) 310-3732

NPI assigned

Mar 7, 2006

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

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1659348902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S. GRAND AVE",
            "address_2": "E213 FIELD HOUSE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52242",
            "telephone_number": "218-310-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S. GRAND AVE",
            "address_2": "E213 FIELD HOUSE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52242",
            "telephone_number": "218-310-3732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1216 Ordean Ct",
            "address_2": "SpHC 102",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558123032",
            "country_code": "US",
            "telephone_number": "218-726-8456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDSTROM",
        "first_name": "MEGAN",
        "middle_name": "JANE",
        "credential": "EDD, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "1628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Lumpkin, RN
• Auriel Luna, PTA
• Peter Scott Lund, D.D.S.
• Peter Anthony Lundak
• Kathryn Elizabeth Lundquist, OTR/L
• Anastasia Jane Lundt, PHARM D, RPH
• Tadeas Lunga, MD
• Kyle Lin Luo, MD
• Christopher M. Luty, M.D.
• Katie Lynn Lutz, M.D.

• Athletic Trainer in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Athletic Trainer in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.