Gina Rose Palermo, MS LAT ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

8700 Old Annapolis Rd
Suite 500
Ellicott City, MD 21043-6920

Phone

(410) 313-2871

Fax

(410) 313-2870

NPI assigned

Mar 23, 2007

Sex

Female

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

Master of Science

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1003933995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 OLD ANNAPOLIS RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436920",
            "telephone_number": "410-313-2871",
            "fax_number": "410-313-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 OLD ANNAPOLIS RD",
            "address_2": "SUITE 500",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436920",
            "telephone_number": "410-313-2871",
            "fax_number": "410-313-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALERMO",
        "first_name": "GINA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "MS LAT ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Athletic Trainer in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.