Andrea Leigh Shene, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT001909A Issued in PA

Practice address

2 Crescent Park West
Warren General Hospital
Warren, PA 16365

Phone

(814) 723-3300

NPI assigned

Feb 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417092917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 COBHAM PARK RD",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163654419",
            "telephone_number": "814-706-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CRESCENT PARK WEST",
            "address_2": "WARREN GENERAL HOSPITAL",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "16365",
            "telephone_number": "814-723-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENE",
        "first_name": "ANDREA",
        "middle_name": "LEIGH",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT001909A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seneca Eye Care LLC
• Seneca Eye Surgeons, Inc
• Seneca Home Health LLC
• Regan P Shabloski, D.O.
• Troy Shattuck, DPT
• Melissa D Shene, CRNP
• Jessica S Shepherd, DO
• Leeann Marie Sholl, LMT, PTA
• Kathy Simanowski, CRNA
• Barry Neil Simon Jr., MPT, MS

• Athletic Trainer in Warren, PA
• Providers in Warren, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.