Megan Pathoomvanh, ATC, VATL

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126002178 Issued in VA

Practice address

6501 Chesapeake Blvd
Norfolk, VA 23513-1974

Phone

(401) 222-9476

NPI assigned

Jan 31, 2015

Last updated

Jan 31, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1422662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422662400000",
    "number": "1780074575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4233 LLEWELLYN AVE",
            "address_2": "APT 108",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235041132",
            "telephone_number": "401-222-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 CHESAPEAKE BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235131974",
            "telephone_number": "401-222-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHOOMVANH",
        "first_name": "MEGAN",
        "name_prefix": "Miss",
        "credential": "ATC, VATL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-31",
        "last_updated": "2015-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronak R Patel
• Saumil Vinubhai Patel, M.D.
• Shreya Patel, DDS
• Shriti Bharat Patel, M.D.
• Pathology Sciences Medical Group, PC
• Pathway Transportation LLC
• Pathways to Life, Inc.
• Patient Choice Ghent
• Melissa A. Patillo, AGPCNP
• Patrick D. Thrasher, M.D. PC

• Athletic Trainer in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2015; 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.