Active NPI
Christopher Mark Despins, MS,ATC
- Athletic Trainer
- St Johnsbury, VT
National Provider Identifier
1669517603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 104-0000036
- Practice address
- 1000 Main St
St Johnsbury, VT 05819-2347 - Phone
- (802) 751-2427
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- 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 | 104-0000036 | VT | Primary |
Addresses
Primary practice location
1000 Main St
St Johnsbury, VT 05819-2347
Mailing address
155 Glover Rd
Groton, VT 05046-3504
Phone (802) 584-3152
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104-0000036 | VT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669517603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 GLOVER RD",
"city": "GROTON",
"state": "VT",
"postal_code": "050463504",
"telephone_number": "802-584-3152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MAIN ST",
"city": "ST JOHNSBURY",
"state": "VT",
"postal_code": "058192347",
"telephone_number": "802-751-2427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESPINS",
"first_name": "CHRISTOPHER",
"middle_name": "MARK",
"name_prefix": "Mr.",
"credential": "MS,ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VT",
"license": "104-0000036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Johnsbury, VT
Sources for this page
- 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.