Megan D Birchard, ATC
Individual provider Active NPI Athletic Trainer · Creston, IA
NPI 1780164996 · NPPES record last updated Aug 16, 2018
Key facts
- NPI
- 1780164996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 090681 (IA)
- Practice address
- 1700 W Townline St
Creston, IA 50801-1054 - Phone
- (641) 782-3510
- NPI assigned
- Aug 16, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090681 | IA | MD | Athletic Trainer |
| 2014031704 | MO | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2014031704 | MO | |
| Athletic Trainer | 2255A2300X | 090681 | IA | Yes |
Addresses
Primary practice location
1700 W Townline St
Creston, IA 50801-1054
Mailing address
215 Myrtle St
Creston, IA 50801-3024
Other providers in Creston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.