Active NPI
Monique Duda
- Athletic Trainer
- Nashua, NH
National Provider Identifier
1598160087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 079602599
- Practice address
- 3 Blueberry LN
Nashua, NH 03062-1611 - Phone
- (603) 880-0353
- NPI assigned
- Oct 27, 2014
- Last updated
- Oct 27, 2014
- 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 | 079602599 | NH | Primary |
Addresses
Primary practice location
3 Blueberry LN
Nashua, NH 03062-1611
Mailing address
3 Blueberry LN
Nashua, NH 03062-1611
Phone (603) 880-0353
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 |
|---|---|---|---|
| 079602599 | NH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1598160087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 BLUEBERRY LN",
"city": "NASHUA",
"state": "NH",
"postal_code": "030621611",
"telephone_number": "603-880-0353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 BLUEBERRY LN",
"city": "NASHUA",
"state": "NH",
"postal_code": "030621611",
"telephone_number": "603-880-0353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDA",
"first_name": "MONIQUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-27",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NH",
"license": "079602599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.