Active NPI
Rebekkah Danielle Gaston, ATC
- Athletic Trainer
- Cincinnati, OH
National Provider Identifier
1376827063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT005801
- Practice address
- 1231 W Kemper Rd
Cincinnati, OH 45240-1617 - Phone
- (513) 315-4505
- NPI assigned
- Sep 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | AT005801 | OH | Primary |
Addresses
Primary practice location
1231 W Kemper Rd
Cincinnati, OH 45240-1617
Mailing address
206 Darst Rd Apt 3a
Dayton, OH 45440-3443
Phone (513) 315-4505
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 |
|---|---|---|---|
| AT005801 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1376827063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 DARST RD APT 3A",
"city": "DAYTON",
"state": "OH",
"postal_code": "454403443",
"telephone_number": "513-315-4505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 W KEMPER RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452401617",
"telephone_number": "513-315-4505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASTON",
"first_name": "REBEKKAH",
"middle_name": "DANIELLE",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-29",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT005801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.