Active NPIIndividual provider

Mercedes Cunningham, ATC, LAT

Specialist/Technologist, Athletic Trainer in Chestnut Hill, Massachusetts

NPI Number1669831608
Practice location
140 Commonwealth Ave, 124 Conte Forum, Chestnut Hill, MA 02467
Fax
617-552-2392
Last updated
February 18, 2016

Mercedes Cunningham is a Specialist/Technologist, Athletic Trainer based in Chestnut Hill, MA. Mercedes Cunningham practices in Chestnut Hill, MA and has the professional credentials of ATC, LAT. The NPI Number for Mercedes Cunningham is 1669831608 and holds a License No. 2641 (MA). The current practice location address for Mercedes Cunningham is 140 Commonwealth Ave, 124 Conte Forum, Chestnut Hill, MA 02467 and can be reached out via phone at 617-552-4828 and via fax at 617-552-2392.

Provider Profile Details

NPI Number
1669831608
Provider Name
Mercedes Cunningham
Credential
ATC, LAT
Provider Entity Type
Individual
Gender
Female
Address
140 Commonwealth Ave, 124 Conte Forum, Chestnut Hill, MA 02467
Phone Number
617-552-4828
Fax Number
617-552-2392
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
February 18, 2016
Last Update Date
February 18, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 Commonwealth Ave
124 Conte Forum
Chestnut Hill, MA 02467
Zip
02467
Phone Number
617-552-4828
Fax Number
617-552-2392
Chestnut Hill, MA 02467Get directions →

Provider Business Mailing Address Details

Address
349 Linwood Ave
Newtonville, MA 02460-1342
City
Newtonville
State
MA
Zip
02460-1342
Phone Number
603-991-9032

License Information

License Number
2641
License State
MA
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mercedes Cunningham, ATC, LAT?

The NPI number of Mercedes Cunningham, ATC, LAT is 1669831608. It was assigned on February 18, 2016 and is currently active in the NPPES registry.

What is the specialty of Mercedes Cunningham, ATC, LAT?

Mercedes Cunningham, ATC, LAT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 2641.

Where does Mercedes Cunningham, ATC, LAT practice?

The practice location is 140 Commonwealth Ave, 124 Conte Forum, Chestnut Hill, MA 02467. The office can be reached at 617-552-4828 (phone) or 617-552-2392 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669831608 directly on the NPPES registry website.

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