Andrew C McKay, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2146-39 Issued in WI

Practice address

12800 N Lake Shore Dr
Mequon, WI 53097-2418

Phone

(262) 243-2057

NPI assigned

May 11, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1669908513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4093 W HAWTHORNE TRACE RD APT 104",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532091043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 N LAKE SHORE DR",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530972418",
            "telephone_number": "262-243-2057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7630 N 51st St",
            "address_purpose": "LOCATION",
            "city": "Brown Deer",
            "state": "WI",
            "postal_code": "532234353",
            "country_code": "US",
            "telephone_number": "815-245-3873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "ANDREW",
        "middle_name": "C",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "2146-39",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Jean McBride-Fought, MSW, LCSW, CSAC, ICS
• Rachael McCallops, NP
• Clare McDonald, DO
• Mae R McEwan, NP
• Ashley A McGuire, NP
• Stacey L McKay, RPH
• Megan Elizabeth McKean, CFY-SLP
• Marisa Elaine McKee, BCBA
• Jasmine McKinney
• Meaghan A McMurray, PHARMD

• Athletic Trainer in Mequon, WI
• Providers in Mequon, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.