Karen Elizabeth Rendall

Key facts

NPI

1326697145

Entity type

Individual (NPI type 1)

Primary specialty

Athletic Trainer 2255A2300X

Practice address

120 Leach Hill Rd
Casco, ME 04015-3237

Phone

(207) 713-2282

NPI assigned

Sep 4, 2019

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 4, 2019.

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1326697145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LEACH HILL RD",
            "city": "CASCO",
            "state": "ME",
            "postal_code": "040153237",
            "telephone_number": "207-713-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LEACH HILL RD",
            "city": "CASCO",
            "state": "ME",
            "postal_code": "040153237",
            "telephone_number": "207-713-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDALL",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Casco, ME · Athletic Trainer in Maine