NPI Code Detail JSON Logo

1750067732 NPI number — MELANIE KATHERINE MCKEVITT LAT, ATC

NPI Number: 1750067732
Health Care Provider/Practitioner: MELANIE KATHERINE MCKEVITT LAT, ATC

Information about “1750067732” NPI (MELANIE KATHERINE MCKEVITT LAT, ATC) exists in 1750067732 in HTML format HTML  |  1750067732 in plain Text format TXT  |  1750067732 in PDF (Portable Document Format) PDF  |  1750067732 in an XML format XML  formats.

NPI Number : 1750067732 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750067732",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCKEVITT",
    "FirstName": "MELANIE",
    "MiddleName": "KATHERINE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LAT, ATC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5480 WOODS POINTE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MCCORDSVILLE",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46055",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-437-0886",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "12001 OLIO RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FISHERS",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46037",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "317-594-4390",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/26/2023",
    "LastUpdateDate": "06/26/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": "36003691A",
        "LicenseNumberStateCode": "IN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.