Active NPI
Meaghan Jeannette Spagnolo
- Athletic Trainer
- Oakville, CT
National Provider Identifier
1154825933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT798
- Practice address
- 214 Parkman St
Oakville, CT 06779-1352 - Phone
- (203) 509-5457
- NPI assigned
- Mar 19, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | AT798 | NM | Primary |
Addresses
Primary practice location
214 Parkman St
Oakville, CT 06779-1352
Mailing address
214 Parkman St
Oakville, CT 06779-1352
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 |
|---|---|---|---|
| AT798 | NM | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596672000000",
"number": "1154825933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 PARKMAN ST",
"city": "OAKVILLE",
"state": "CT",
"postal_code": "067791352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 PARKMAN ST",
"city": "OAKVILLE",
"state": "CT",
"postal_code": "067791352",
"telephone_number": "203-509-5457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAGNOLO",
"first_name": "MEAGHAN",
"middle_name": "JEANNETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-19",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NM",
"license": "AT798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakville, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.