Active NPI
Robert W Duncanson, MED, ATC, CSCS
- Athletic Trainer
- Knoxville, TN
National Provider Identifier
1235103763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0000001073
- Practice address
- 1704 Johnny Majors Dr
RM. 117a, Neyland-Thompson Sports Center
Knoxville, TN 37996-4538 - Phone
- (865) 974-1359
- Fax
- (865) 974-1259
- NPI assigned
- Feb 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | AL 1441 | FL | |
| Athletic Trainer | 2255A2300X | 0000001073 | TN | Primary |
Addresses
Primary practice location
1704 Johnny Majors Dr
RM. 117a, Neyland-Thompson Sports Center
Knoxville, TN 37996-4538
Mailing address
PO Box 15162
Knoxville, TN 37901-5162
Phone (865) 974-1359
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL 1441 | FL | MD | Specialist |
| 0000001073 | TN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1235103763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15162",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379015162",
"telephone_number": "865-974-1359",
"fax_number": "865-974-1259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 JOHNNY MAJORS DR",
"address_2": "RM. 117A, NEYLAND-THOMPSON SPORTS CENTER",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379964538",
"telephone_number": "865-974-1359",
"fax_number": "865-974-1259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCANSON",
"first_name": "ROBERT",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "MED, ATC, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "AL 1441",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "0000001073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.