Individual provider Active NPI

Daniel E Farren, A.T.C., N.R.E.M.T.

  • Athletic Trainer
  • Brunswick, ME
National Provider Identifier
1356887608
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT573 Issued in ME
Practice address
9000 College Sta
Brunswick, ME 04011-8490
Phone
(207) 798-4143
NPI assigned
Jan 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 28430 ME
Athletic Trainer 2255A2300X AT573 ME Primary

Addresses

Primary practice location

9000 College Sta
Brunswick, ME 04011-8490

Mailing address

304 Brixham Rd
Eliot, ME 03903-1258
Phone (207) 475-6325

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

LicenseStateTypeSpecialty
28430MEMDBasic Emergency Medical Technician
AT573MEMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1356887608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 BRIXHAM RD",
            "city": "ELIOT",
            "state": "ME",
            "postal_code": "039031258",
            "telephone_number": "207-475-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 COLLEGE STA",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040118490",
            "telephone_number": "207-798-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARREN",
        "first_name": "DANIEL",
        "middle_name": "E",
        "credential": "A.T.C., N.R.E.M.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "ME",
            "license": "28430",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ME",
            "license": "AT573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.