Active NPI
Abigail Michelle Gunnink, MS, ATC
- Athletic Trainer
- Portland, OR
National Provider Identifier
1003213711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT-AT-10150585
- Practice address
- 527 SW Hall St
#415
Portland, OR 97201-5230 - Phone
- (503) 725-4073
- NPI assigned
- Nov 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT-AT-10150585 | OR | Primary |
Addresses
Primary practice location
527 SW Hall St
#415
Portland, OR 97201-5230
Mailing address
12577 SE River Rd
Apt 240
Milwaukie, OR 97222-8007
Phone (402) 689-0278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT-AT-10150585 | OR | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416787200000",
"number": "1003213711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12577 SE RIVER RD",
"address_2": "APT 240",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972228007",
"telephone_number": "402-689-0278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 SW HALL ST",
"address_2": "#415",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972015230",
"telephone_number": "503-725-4073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNNINK",
"first_name": "ABIGAIL",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "MS, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-24",
"last_updated": "2014-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OR",
"license": "AT-AT-10150585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.