Active NPI
Daniel E Farren, A.T.C., N.R.E.M.T.
- Athletic Trainer
- Brunswick, ME
National Provider Identifier
1356887608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT573
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 28430 | ME | MD | Basic Emergency Medical Technician |
| AT573 | ME | MD | Athletic 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.