Active NPI
Courtney Grace Zambello
- Athletic Trainer
- Sharon, MA
National Provider Identifier
1154845402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 516VN6
- Practice address
- 5 Lu Stubbs LN
Sharon, MA 02067-2367 - Phone
- (781) 201-9815
- NPI assigned
- Jul 28, 2017
- 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 | 516VN6 | MA | Primary |
Addresses
Primary practice location
5 Lu Stubbs LN
Sharon, MA 02067-2367
Mailing address
5 Lu Stubbs LN
Sharon, MA 02067-2367
Phone (781) 201-9815
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 |
|---|---|---|---|
| 516VN6 | MA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1154845402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 LU STUBBS LN",
"city": "SHARON",
"state": "MA",
"postal_code": "020672367",
"telephone_number": "781-201-9815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 LU STUBBS LN",
"city": "SHARON",
"state": "MA",
"postal_code": "020672367",
"telephone_number": "781-201-9815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMBELLO",
"first_name": "COURTNEY",
"middle_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "516VN6",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sharon, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.