Individual provider Active NPI

Alison Marie Gardiner-Shires, PHD, ATC

  • Athletic Trainer
  • West Chester, PA
National Provider Identifier
1811189848
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
RT003272 Issued in PA
Practice address
Wcu
855 S. New St. Surzebecker HSC Office 305
West Chester, PA 19383-0001
Phone
(610) 436-2515
Fax
(610) 436-2803
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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 RT003272 PA Primary

Addresses

Primary practice location

Wcu
855 S. New St. Surzebecker HSC Office 305
West Chester, PA 19383-0001

Mailing address

855 S. New St. Surzebecker HSC Office 305
Wcu
West Chester, PA 19383
Phone (610) 436-2515

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
RT003272PAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1811189848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 S. NEW ST. SURZEBECKER HSC OFFICE 305",
            "address_2": "WCU",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "19383",
            "telephone_number": "610-436-2515",
            "fax_number": "610-436-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WCU",
            "address_2": "855 S. NEW ST. SURZEBECKER HSC OFFICE 305",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193830001",
            "telephone_number": "610-436-2515",
            "fax_number": "610-436-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDINER-SHIRES",
        "first_name": "ALISON",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PHD, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT003272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.