Individual provider Active NPI

Maura Gillon

  • Athletic Trainer
  • Holyoke, MA
National Provider Identifier
1396142162
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
79 Vermont St
Holyoke, MA 01040-1643
Phone
(413) 000-0000
NPI assigned
Nov 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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 Primary

Addresses

Primary practice location

79 Vermont St
Holyoke, MA 01040-1643

Mailing address

79 Vermont St
Holyoke, MA 01040-1643

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

NPI Registry JSON

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

{
    "created_epoch": "1416614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1396142162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 VERMONT ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010401643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 VERMONT ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010401643",
            "telephone_number": "413-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLON",
        "first_name": "MAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-22",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.