Individual provider Active NPI

Dawn Marie Dubnicka, ATC

  • Athletic Trainer
  • Rome, GA
National Provider Identifier
1972615482
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AL1376 Issued in FL
Practice address
201 Turner McCall Blvd NW
Rome, GA 30165-2545
Phone
(706) 802-1991
Fax
(706) 802-1408
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
AL1376FLMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Rehabilitation & Consulting Limited Partnership Past Accepting new patients
Advance Rehabilitation and Consulting Athletic Trainer Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL1376 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

201 Turner McCall Blvd NW
Rome, GA 30165-2545

Mailing address

201 Turner McCall Blvd NW
Rome, GA 30165-2545
Phone (706) 802-1991

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972615482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 TURNER MCCALL BLVD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652545",
            "telephone_number": "706-802-1991",
            "fax_number": "706-802-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TURNER MCCALL BLVD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652545",
            "telephone_number": "706-802-1991",
            "fax_number": "706-802-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBNICKA",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL1376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

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.

Verify at the official NPI Registry.