Active NPI
Meredith L McKinney, ATC, LAT
- Athletic Trainer
- Indianapolis, IN
National Provider Identifier
1679788681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36001199A
- Practice address
- 5949 W Raymond St
Indianapolis, IN 46241-4348 - Phone
- (317) 390-5590
- NPI assigned
- May 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 36001199A | IN | Primary |
Addresses
Primary practice location
5949 W Raymond St
Indianapolis, IN 46241-4348
Mailing address
7565 Farm View Cir E
Indianapolis, IN 46256-1994
Phone (317) 501-4154
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 |
|---|---|---|---|
| 36001199A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374451200000",
"number": "1679788681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7565 FARM VIEW CIR E",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462561994",
"telephone_number": "317-501-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5949 W RAYMOND ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462414348",
"telephone_number": "317-390-5590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "MEREDITH",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-12",
"last_updated": "2013-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36001199A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.