Megan Dehaven, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

ATR-009173 Issued in AZ

Practice address

501 Fairmount Ave Ste 302
Towson, MD 21286-5494

Phone

(410) 324-7543

NPI assigned

Jul 22, 2016

Last updated

Nov 8, 2022By 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

Other names 1

• Megan Plumb Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1699128850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 N HAYDEN DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154352",
            "telephone_number": "619-200-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 FAIRMOUNT AVE STE 302",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865494",
            "telephone_number": "410-324-7543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2140 N Hayden Dr",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857154352",
            "country_code": "US",
            "telephone_number": "619-200-3350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEHAVEN",
        "first_name": "MEGAN",
        "name_prefix": "Mrs.",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT6304",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "ATR-009173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "PLUMB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna Cresta Ibanez Decena-Trinidad, PMHNP
• Hunter Anthony Decesare, ATS
• Alison Faye Decker, M.D.
• Fidelis Caroline Define, MD
• Kenneth William Defontes III, M.D.
• Eve Del Monte, LPC
• Tori Luise Delaney
• Terri S Delay, PHD
• Lori Delcher
• Jessica Deleon

• Athletic Trainer in Towson, MD
• Providers in Towson, MD by specialty
• Athletic Trainer in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.

Verify at the official NPI Registry.