John Wilson McChesney, ATC, LAT, PHD

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT-239 Issued in ID

Practice address

1910 University Dr
Boise, ID 83725-0001

Phone

(208) 859-3974

Fax

(208) 426-1894

NPI assigned

Jan 14, 2021

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1790374643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 E WARM SPRINGS AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837128436",
            "telephone_number": "208-859-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 UNIVERSITY DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837250001",
            "telephone_number": "208-859-3974",
            "fax_number": "208-426-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCHESNEY",
        "first_name": "JOHN",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "ATC, LAT, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ID",
            "license": "AT-239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan McCarren, MD
• Erin Alexis Shaw McCarter, BSN, RN, IBCLC
• Laura J McCarthy, MSCCC SLP
• Danielle McCauley, RD
• Shane Nathaniel McCauley, MD
• Richard McChrystal, P.A.
• Sarah McClain, PHARMD
• Michael McClay, PH.D.
• Carol Jean McClelland, PHYSICAL THERAPIST
• Elizabeth Ryann McClennen, D.O.

• Athletic Trainer in Boise, ID
• Providers in Boise, ID by specialty
• Athletic Trainer in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.