Active NPI
Alecia M Baran, ATC
- Athletic Trainer
- Cambridge, MA
National Provider Identifier
1578973624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1531
- Practice address
- 29 Everett St
Cambridge, MA 02138-2702 - Phone
- (617) 389-8976
- NPI assigned
- Apr 29, 2014
- Last updated
- Apr 29, 2014
- 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 | 1531 | MA | Primary |
Addresses
Primary practice location
29 Everett St
Cambridge, MA 02138-2702
Mailing address
29 Everett St
Cambridge, MA 02138-2702
Phone (617) 389-8976
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 |
|---|---|---|---|
| 1531 | MA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398729600000",
"number": "1578973624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 EVERETT ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021382702",
"telephone_number": "617-389-8976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 EVERETT ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021382702",
"telephone_number": "617-389-8976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARAN",
"first_name": "ALECIA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-29",
"last_updated": "2014-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "1531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.