Active NPI
Carmen Chona, ATC
- Athletic Trainer
- Greenwood, DE
National Provider Identifier
1184168510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- J3-0000518
- Practice address
- 14712 Woodbridge Rd
Greenwood, DE 19950-4682 - Phone
- (302) 232-3330
- NPI assigned
- Dec 4, 2016
- Last updated
- Dec 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | J3-0000518 | DE | Primary |
Addresses
Primary practice location
14712 Woodbridge Rd
Greenwood, DE 19950-4682
Mailing address
14712 Woodbridge Rd
Greenwood, DE 19950-4682
Phone (302) 232-3330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J3-0000518 | Other | DE | BOC |
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 |
|---|---|---|---|
| J3-0000518 | DE | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480809600000",
"number": "1184168510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14712 WOODBRIDGE RD",
"city": "GREENWOOD",
"state": "DE",
"postal_code": "199504682",
"telephone_number": "302-232-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14712 WOODBRIDGE RD",
"city": "GREENWOOD",
"state": "DE",
"postal_code": "199504682",
"telephone_number": "302-232-3330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHONA",
"first_name": "CARMEN",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-04",
"last_updated": "2016-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "DE",
"license": "J3-0000518",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOC",
"identifier": "J3-0000518",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.