Active NPI
Charisma Mia Nunez-Rodriguez, LAT, ATC
- Athletic Trainer
- Norton, MA
National Provider Identifier
1578265484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 3777
- Practice address
- 40 Leonard St
Norton, MA 02766-2495 - Phone
- (781) 815-7116
- NPI assigned
- Mar 22, 2023
- Last updated
- Mar 22, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 3777 | MA | Primary |
Addresses
Primary practice location
40 Leonard St
Norton, MA 02766-2495
Mailing address
8 Quarry LN Apt 1220
Malden, MA 02148-7878
Phone (760) 408-2888
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 |
|---|---|---|---|
| 3777 | MA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1578265484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 QUARRY LN APT 1220",
"city": "MALDEN",
"state": "MA",
"postal_code": "021487878",
"telephone_number": "760-408-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 LEONARD ST",
"city": "NORTON",
"state": "MA",
"postal_code": "027662495",
"telephone_number": "781-815-7116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNEZ-RODRIGUEZ",
"first_name": "CHARISMA",
"middle_name": "MIA",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-22",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "3777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.