Active NPI
Rachel Elizabeth Loan, M.S., ATC, PES
- Athletic Trainer
- Everett, MA
National Provider Identifier
1790112878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2151
- Practice address
- 100 Elm St
Everett, MA 02149-5128 - Phone
- (617) 394-2490
- NPI assigned
- Oct 3, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2151 | MA | Primary |
Addresses
Primary practice location
100 Elm St
Everett, MA 02149-5128
Mailing address
6 Grove St
Methuen, MA 01844-3635
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 |
|---|---|---|---|
| 2151 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1790112878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 GROVE ST",
"city": "METHUEN",
"state": "MA",
"postal_code": "018443635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ELM ST",
"city": "EVERETT",
"state": "MA",
"postal_code": "021495128",
"telephone_number": "617-394-2490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOAN",
"first_name": "RACHEL",
"middle_name": "ELIZABETH",
"credential": "M.S., ATC, PES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-03",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "2151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.