Individual provider Active NPI

Robyn Gadbois, ATC

  • Athletic Trainer
  • Kennebunk, ME
National Provider Identifier
1629517974
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT399 Issued in ME
Practice address
65 Portland Rd
Unit 5
Kennebunk, ME 04043-6742
Phone
(207) 985-6181
Fax
(207) 985-6239
NPI assigned
Feb 20, 2017
Last updated
Feb 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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 AT399 ME Primary

Addresses

Primary practice location

65 Portland Rd
Unit 5
Kennebunk, ME 04043-6742

Mailing address

65 Portland Rd
Unit 5
Kennebunk, ME 04043-6742
Phone (207) 985-6181

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

LicenseStateTypeSpecialty
AT399MEMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1629517974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 PORTLAND RD",
            "address_2": "UNIT 5",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436742",
            "telephone_number": "207-985-6181",
            "fax_number": "207-985-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 PORTLAND RD",
            "address_2": "UNIT 5",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436742",
            "telephone_number": "207-985-6181",
            "fax_number": "207-985-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADBOIS",
        "first_name": "ROBYN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ME",
            "license": "AT399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennebunk, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.