Active NPI
Angie May Montcalm, MED, ATC, CSCS
- Athletic Trainer
- Essex Junction, VT
National Provider Identifier
1124465463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 104.0092975
- Practice address
- 1 Market PL
Suite 33
Essex Junction, VT 05452-2942 - Phone
- (802) 878-9572
- Fax
- (802) 878-9592
- NPI assigned
- May 28, 2013
- 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 | 104.0092975 | VT | Primary |
Addresses
Primary practice location
1 Market PL
Suite 33
Essex Junction, VT 05452-2942
Mailing address
111 Danforth Dr
Cary, NC 27511-3184
Phone (919) 819-1374
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104.0092975 | VT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369699200000",
"number": "1124465463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 DANFORTH DR",
"city": "CARY",
"state": "NC",
"postal_code": "275113184",
"telephone_number": "919-819-1374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MARKET PL",
"address_2": "SUITE 33",
"city": "ESSEX JUNCTION",
"state": "VT",
"postal_code": "054522942",
"telephone_number": "802-878-9572",
"fax_number": "802-878-9592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTCALM",
"first_name": "ANGIE",
"middle_name": "MAY",
"credential": "MED, ATC, CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-28",
"last_updated": "2013-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VT",
"license": "104.0092975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Essex Junction, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.