Active NPI
Monica Macchiarulo, ATC
- Athletic Trainer
- Morrisville, NC
National Provider Identifier
1679044366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT-4424
- Practice address
- 5601 Arringdon Park Dr Ste 300
Morrisville, NC 27560-5676 - Phone
- (919) 660-5066
- Fax
- (919) 660-5022
- NPI assigned
- Dec 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | LAT-4424 | NC | Primary |
Addresses
Primary practice location
5601 Arringdon Park Dr Ste 300
Morrisville, NC 27560-5676
Mailing address
120 Saint Albans Dr Apt 631
Raleigh, NC 27609-5890
Phone (203) 885-8898
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAT-4424 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659139200000",
"number": "1679044366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 SAINT ALBANS DR APT 631",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276095890",
"telephone_number": "203-885-8898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 ARRINGDON PARK DR STE 300",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275605676",
"telephone_number": "919-660-5066",
"fax_number": "919-660-5022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACCHIARULO",
"first_name": "MONICA",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-06",
"last_updated": "2022-07-30",
"certification_date": "2022-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-4424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morrisville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.