Active NPI
Dana Dearborn
- Athletic Trainer
- Keene, NH
National Provider Identifier
1114531316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1500
- Practice address
- 580 Court St
Keene, NH 03431-1718 - Phone
- (603) 354-5400
- NPI assigned
- Sep 4, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1500 | NH | Primary |
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
580 Court St
Keene, NH 03431-1718
Mailing address
8 Norman Ave
Charlestown, NH 03603-4722
Phone (603) 892-9381
Other practice location 1
8 Norman Ave
Charlestown, NH 03603-4722
Phone (603) 892-9381
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ddearborn@cheshire-med.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1114531316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 NORMAN AVE",
"city": "CHARLESTOWN",
"state": "NH",
"postal_code": "036034722",
"telephone_number": "603-892-9381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 COURT ST",
"city": "KEENE",
"state": "NH",
"postal_code": "034311718",
"telephone_number": "603-354-5400"
}
],
"practiceLocations": [
{
"address_1": "8 Norman Ave",
"address_purpose": "LOCATION",
"city": "Charlestown",
"state": "NH",
"postal_code": "036034722",
"country_code": "US",
"telephone_number": "603-892-9381",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEARBORN",
"first_name": "DANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-04",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NH",
"license": "1500",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ddearborn@cheshire-med.com",
"affiliation": "N",
"address_1": "580 Court St",
"city": "Keene",
"state": "NH",
"country_code": "US",
"postal_code": "034311718",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.