Bobbie-Jo Saucier, MS, ATC, LATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

000305 Issued in CT

Practice address

150 Route 169
Woodstock, CT 06281-3318

Phone

(860) 963-9096

Fax

(860) 963-2144

NPI assigned

Mar 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Bobbie-Jo Shekleton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801912118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ROUTE 169",
            "city": "WOODSTOCK",
            "state": "CT",
            "postal_code": "062813318",
            "telephone_number": "860-963-9096",
            "fax_number": "860-963-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ROUTE 169",
            "city": "WOODSTOCK",
            "state": "CT",
            "postal_code": "062813318",
            "telephone_number": "860-963-9096",
            "fax_number": "860-963-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCIER",
        "first_name": "BOBBIE-JO",
        "name_prefix": "Mrs.",
        "credential": "MS, ATC, LATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "000305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOBBIE-JO",
            "last_name": "SHEKLETON",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachelle Mauer, SLP
• Frances Rollinson
• Rose Kihara Nurse Practitioner LLC (Family Health Care & Walk In Center)
• Ellen Salurand, M.D.
• Hailey Elizabeth Santelli
• Olivera Schmeelk, RD
• Christine Marie Schuler, LICSW
• Lauren Marie Shea
• William Shevin, MD
• Laurie Lee Swenson, LMT

• Athletic Trainer in Woodstock, CT
• Providers in Woodstock, CT by specialty
• Athletic Trainer in Connecticut

• 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.

Verify at the official NPI Registry.