Marena Nicole Smith, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0583 Issued in NH

Practice address

10 Abbott St
Dover, NH 03820-2713

Phone

(603) 767-6530

NPI assigned

Mar 30, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1194353821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ABBOTT ST",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202713",
            "telephone_number": "603-767-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ABBOTT ST",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202713",
            "telephone_number": "603-767-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARENA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NH",
            "license": "0583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOC",
            "identifier": "2000015354",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH ATC LICENSE",
            "identifier": "0583",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Home",
            "affiliation": "N",
            "address_1": "10 Abbott St",
            "city": "Dover",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038202713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Small, MSW
• Coleen M Smead, RDH
• Allison Marie Smick, M.S. CCC-SLP
• Brittany Lynne Smith, PA
• Jamie Smith, LCMHC
• Marianne C Smith
• Debra Diane Snow
• Eugene R Soares, MD
• Sandeep Sobti, M.D
• Alison M Sollee, MD

• Athletic Trainer in Dover, NH
• Providers in Dover, NH by specialty
• Athletic Trainer in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.