Individual provider Active NPI

Alexa Hambly

  • Athletic Trainer
  • Providence, RI
National Provider Identifier
1699449058
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
3475 Issued in MA
Practice address
1 Prospect St
Providence, RI 02912-9127
Phone
(401) 863-5200
NPI assigned
Aug 9, 2021
Last updated
Aug 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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 3475 MA Primary

Addresses

Primary practice location

1 Prospect St
Providence, RI 02912-9127

Mailing address

39 Fieldstone Cir
Middleboro, MA 02346-3129
Phone (774) 281-8232

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL alexahambly@gmail.com
CONNECT URL alexahambly@gmail.com

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
3475MAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1699449058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 FIELDSTONE CIR",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023463129",
            "telephone_number": "774-281-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PROSPECT ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029129127",
            "telephone_number": "401-863-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBLY",
        "first_name": "ALEXA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "3475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "alexahambly@gmail.com",
            "affiliation": "N",
            "address_1": "39 Fieldstone Cir",
            "city": "Middleboro",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023463129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "alexahambly@gmail.com",
            "affiliation": "N",
            "address_1": "39 Fieldstone Cir",
            "city": "Middleboro",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023463129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.