Individual provider Active NPI

Deborah Lorraine Wood, MS, ATC, CSCS, CES

  • Athletic Trainer
  • Swanzey, NH
National Provider Identifier
1366712366
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0429 Issued in NH
Practice address
830 Old Homestead Hwy
Swanzey, NH 03446-2302
Phone
(603) 903-7946
NPI assigned
Jan 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0429 NH Primary

Addresses

Primary practice location

830 Old Homestead Hwy
Swanzey, NH 03446-2302

Mailing address

830 Old Homestead Hwy
Swanzey, NH 03446-2302
Phone (603) 903-7946

Other names 1

  • Deborah Lorraine Coburn Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0429NHMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1366712366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 OLD HOMESTEAD HWY",
            "city": "SWANZEY",
            "state": "NH",
            "postal_code": "034462302",
            "telephone_number": "603-903-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 OLD HOMESTEAD HWY",
            "city": "SWANZEY",
            "state": "NH",
            "postal_code": "034462302",
            "telephone_number": "603-903-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "DEBORAH",
        "middle_name": "LORRAINE",
        "credential": "MS, ATC, CSCS, CES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NH",
            "license": "0429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "COBURN",
            "middle_name": "LORRAINE",
            "credential": "MS, ATC, CSCS, CES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Swanzey, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.