Active NPI
Brenna Salvatore Normandin, D.C.
- Chiropractor
- Ashburnham, MA
National Provider Identifier
1285886580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3238
- Practice address
- 53 Main St
Ashburnham, MA 01430-1247 - Phone
- (978) 827-0770
- NPI assigned
- Oct 17, 2008
- Sex
- Female
- Sole proprietor
- No
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
25 Cobb Rd
Ashburnham, MA 01430-1210
Phone (978) 827-0770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160526000083 | MA | Practitioner - Chiropractic | 5698065001 | Practice locations: Ashburnham, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3238 | MA | MD | Registered Dietitian |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3238 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
53 Main St
Ashburnham, MA 01430-1247
Mailing address
105 Sanborn St
Fitchburg, MA 01420-3756
Phone (978) 827-0770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 16, 2010.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1285886580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 SANBORN ST",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014203756",
"telephone_number": "978-827-0770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 MAIN ST",
"city": "ASHBURNHAM",
"state": "MA",
"postal_code": "014301247",
"telephone_number": "978-827-0770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORMANDIN",
"first_name": "BRENNA",
"middle_name": "SALVATORE",
"name_prefix": "Mrs.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-17",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "3238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashburnham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.