Active NPI
Andrew Rich Duckett, ATC
- Athletic Trainer
- Boston, MA
National Provider Identifier
1144525569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2125
- Practice address
- 285 Babcock St
Boston, MA 02215-1003 - Phone
- (617) 353-4289
- NPI assigned
- Jan 15, 2011
- Sex
- Male
- 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 | 2125 | MA | Primary |
Addresses
Primary practice location
285 Babcock St
Boston, MA 02215-1003
Mailing address
29 Colborne Rd Apt 4
Brighton, MA 02135-4831
Phone (803) 507-2072
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2125 | MA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295049600000",
"number": "1144525569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 COLBORNE RD APT 4",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021354831",
"telephone_number": "803-507-2072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 BABCOCK ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "022151003",
"telephone_number": "617-353-4289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCKETT",
"first_name": "ANDREW",
"middle_name": "RICH",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-15",
"last_updated": "2011-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "2125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.