Active NPI
Donna J. Bennett, L.A.T., A.T.,C.
- Athletic Trainer
- Chestnut Hill, MA
National Provider Identifier
1912933078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 56
- Practice address
- 140 Commonwealth Ave
Boston College
Chestnut Hill, MA 02477-3861 - Phone
- (617) 552-4540
- NPI assigned
- Jun 23, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 56 | MA | Primary |
Addresses
Primary practice location
140 Commonwealth Ave
Boston College
Chestnut Hill, MA 02477-3861
Mailing address
14 Riverside St
Needham, MA 02494-3017
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56 | MA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912933078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 RIVERSIDE ST",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024943017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 COMMONWEALTH AVE",
"address_2": "BOSTON COLLEGE",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024773861",
"telephone_number": "617-552-4540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "DONNA",
"middle_name": "J.",
"name_prefix": "Ms.",
"credential": "L.A.T., A.T.,C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "56",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chestnut Hill, MA
Sources for this page
- 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.