Individual provider Active NPI

Alan Eugene Delano, M.ED, ATC-L

  • Athletic Trainer
  • Methuen, MA
National Provider Identifier
1770174997
Registry record updated Jan 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
317713 Issued in MA
Practice address
1 Ranger Rd
Methuen, MA 01844-3948
Phone
(978) 722-6040
NPI assigned
Jan 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 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 317713 MA Primary

Addresses

Primary practice location

1 Ranger Rd
Methuen, MA 01844-3948

Mailing address

1 Ranger Rd
Methuen, MA 01844-3948
Phone (978) 722-6040

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

LicenseStateTypeSpecialty
317713MAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1611964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611964800000",
    "number": "1770174997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RANGER RD",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018443948",
            "telephone_number": "978-722-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RANGER RD",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018443948",
            "telephone_number": "978-722-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANO",
        "first_name": "ALAN",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "M.ED, ATC-L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-30",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "317713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.