Active NPI
Griffin Dunne
- Athletic Trainer
- Montoursville, PA
National Provider Identifier
1902393903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 245 Colonial Dr
Montoursville, PA 17754-7973 - Phone
- (570) 772-0783
- NPI assigned
- Apr 16, 2018
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
245 Colonial Dr
Montoursville, PA 17754-7973
Mailing address
245 Colonial Dr
Montoursville, PA 17754-7973
Phone (570) 772-0783
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523836800000",
"number": "1902393903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 COLONIAL DR",
"city": "MONTOURSVILLE",
"state": "PA",
"postal_code": "177547973",
"telephone_number": "570-772-0783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 COLONIAL DR",
"city": "MONTOURSVILLE",
"state": "PA",
"postal_code": "177547973",
"telephone_number": "570-772-0783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNNE",
"first_name": "GRIFFIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-16",
"last_updated": "2018-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montoursville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.