Mary Lynne McDade, PHD, MA, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT000776A Issued in PA

Practice address

Crawford Hall
B24
Edinboro, PA 16444

Phone

(814) 732-1439

NPI assigned

Jan 5, 2016

Last updated

Jan 5, 2016By 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

Credentials

Master of Arts, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1669838785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CRAWFORD HALL",
            "address_2": "B24",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "16444",
            "telephone_number": "814-732-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CRAWFORD HALL",
            "address_2": "B24",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "16444",
            "telephone_number": "814-732-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDADE",
        "first_name": "MARY",
        "middle_name": "LYNNE",
        "name_prefix": "Prof.",
        "credential": "PHD, MA, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT000776A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Dianne Martin-Horn, MA, LPC, NCC
• Anthony Masone, LPC
• Victor Masone Jr., PH.D.
• Tyler Conrad Massey
• Michelle Anne McCallion, RPH
• Gary B Means, D.M.D.
• Medical Associates of Erie
• Brian Allen Miller, D.C.
• Evan Miller, OT
• Misty Miller

• Athletic Trainer in Edinboro, PA
• Providers in Edinboro, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.