Individual provider Active NPI

Rebecca Ramirez-McKinely, MS, LAT, ATC, CSCS,

  • Athletic Trainer
  • South Weymouth, MA
National Provider Identifier
1245681899
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2645 Issued in MA
Practice address
105 Gas Light Dr Apt 12
South Weymouth, MA 02190-2147
Phone
(845) 701-1416
NPI assigned
Jun 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2645 MA Primary

Addresses

Primary practice location

105 Gas Light Dr Apt 12
South Weymouth, MA 02190-2147

Mailing address

105 Gas Light Dr Apt 12
South Weymouth, MA 02190-2147

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 Science

State licenses

LicenseStateTypeSpecialty
2645MAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1245681899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GAS LIGHT DR APT 12",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021902147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GAS LIGHT DR APT 12",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021902147",
            "telephone_number": "845-701-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ-MCKINELY",
        "first_name": "REBECCA",
        "credential": "MS, LAT, ATC, CSCS,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "2645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.