Mackenzie Anne Chamberlain

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

U179 State Route 108
Napoleon, OH 43545-9765

Phone

(419) 579-0857

NPI assigned

Apr 24, 2016

Last updated

Apr 24, 2016By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1461456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461456000000",
    "number": "1689029944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "U179 STATE ROUTE 108",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435459765",
            "telephone_number": "419-579-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "U179 STATE ROUTE 108",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435459765",
            "telephone_number": "419-579-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "MACKENZIE",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-24",
        "last_updated": "2016-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Carico
• Michael Dean Carpenter, D.D.S.
• Angela R Carroll
• Kimberly J Cavanaugh
• Center for Child and Family Advocacy
• Kenneth Chandler, QMHS
• Heather Chaney
• Cheryl L Chapa, QMHS
• Simon S Chiu, M.D., PHD
• Samantha Chmielewski, LPN

• Athletic Trainer in Napoleon, OH
• Providers in Napoleon, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.