Individual provider Active NPI

Donna Papangellin, ATC

  • Athletic Trainer
  • Tempe, AZ
National Provider Identifier
1952594350
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
283 Issued in AZ
Practice address
1025 E Broadway Rd
Ste. 100
Tempe, AZ 85282-1599
Phone
(480) 829-0217
Fax
(480) 829-1410
NPI assigned
Aug 20, 2007
Last updated
Aug 20, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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 283 AZ Primary

Addresses

Primary practice location

1025 E Broadway Rd
Ste. 100
Tempe, AZ 85282-1599

Mailing address

1025 E Broadway Rd
Ste. 100
Tempe, AZ 85282-1599
Phone (480) 829-0217

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

LicenseStateTypeSpecialty
283AZMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1952594350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 E BROADWAY RD",
            "address_2": "STE. 100",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821599",
            "telephone_number": "480-829-0217",
            "fax_number": "480-829-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 E BROADWAY RD",
            "address_2": "STE. 100",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821599",
            "telephone_number": "480-829-0217",
            "fax_number": "480-829-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPANGELLIN",
        "first_name": "DONNA",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.