Active NPI
Daniela Samantha Sirott
- Athletic Trainer
- Evanston, IL
National Provider Identifier
1316679327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- S630-1770-0736
- Practice address
- 2255 N Campus Drive
Evanston, IL 60208-0001 - Phone
- (847) 542-8833
- NPI assigned
- Jun 28, 2022
- Last updated
- Jul 26, 2026
- Sex
- Female
- Sole proprietor
- No
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 | S630-1770-0736 | IL | Primary |
Addresses
Primary practice location
2255 N Campus Drive
Evanston, IL 60208-0001
Mailing address
1747 Winnetka Ave
Northfield, IL 60093-3318
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 |
|---|---|---|---|
| S630-1770-0736 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785024000000",
"number": "1316679327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1747 WINNETKA AVE",
"city": "NORTHFIELD",
"state": "IL",
"postal_code": "600933318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 N CAMPUS DRIVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602080001",
"telephone_number": "847-542-8833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIROTT",
"first_name": "DANIELA",
"middle_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-28",
"last_updated": "2026-07-26",
"certification_date": "2026-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "S630-1770-0736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.