Jonathan McCutchen, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2013039015 Issued in MO

Practice address

4970 Oakland Ave
Saint Louis, MO 63110-1402

Phone

(314) 809-8519

NPI assigned

Dec 22, 2015

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

State licenses

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1932564614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5398 PERSHING AVE APT 3E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631121788",
            "telephone_number": "314-809-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4970 OAKLAND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101402",
            "telephone_number": "314-809-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUTCHEN",
        "first_name": "JONATHAN",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2013039015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Houston McCulloch, MD, PHD
• Erin McCullough, PTA
• Terence J McCune
• Jennifer Anne McCurdy, LPC
• Alison McCurley, MPT
• Jaleesa L McCutcheon, LMSW
• Eric Martin McDade, DO
• Logan Scott McDanel, AGACNP-BC
• McDaniel Nutrition Therapy, LLC
• Jennifer Louise McDaniel, MS, RDN, CSSD

• Athletic Trainer in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.