Active NPI
Molly Gail McNeil, M.ED, ATC, OTC
- Athletic Trainer
- Lebanon, NH
National Provider Identifier
1750701694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0579
- Practice address
- 1 Medical Center Dr
Dept of Orthopaedics 3D
Lebanon, NH 03756-1000 - Phone
- (603) 650-7307
- Fax
- (603) 650-0725
- NPI assigned
- Apr 18, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0579 | NH | Primary |
| Other Specialist/Technologist | 246Z00000X |
Addresses
Primary practice location
1 Medical Center Dr
Dept of Orthopaedics 3D
Lebanon, NH 03756-1000
Mailing address
1 Medical Center Dr
Dept of Orthopaedics 3D
Lebanon, NH 03756-1000
Phone (603) 650-7307
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0579 | NH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397779200000",
"number": "1750701694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "DEPT OF ORTHOPAEDICS 3D",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-650-7307",
"fax_number": "603-650-0725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "DEPT OF ORTHOPAEDICS 3D",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-650-7307",
"fax_number": "603-650-0725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEIL",
"first_name": "MOLLY",
"middle_name": "GAIL",
"credential": "M.ED, ATC, OTC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-18",
"last_updated": "2014-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NH",
"license": "0579",
"primary": true
},
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.