Diandra Gillis
Specialist/Technologist, Athletic Trainer in Winthrop, Massachusetts
1871017061- Practice location
- 53 Park Ave, Winthrop, MA 02152-2559
- Phone
- 617-230-2275
- Fax
- —
- Last updated
- October 9, 2021
Diandra Gillis is a Specialist/Technologist, Athletic Trainer based in Winthrop, MA. Diandra Gillis practices in Winthrop, MA. The NPI Number for Diandra Gillis is 1871017061 and holds a License No. 3412 (MA). The current practice location address for Diandra Gillis is 53 Park Ave, Winthrop, MA 02152-2559 and can be reached out via phone at 617-230-2275.
Provider Profile Details
- NPI Number
- 1871017061
- Provider Name
- Diandra Gillis
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 53 Park Ave, Winthrop, MA 02152-2559
- Phone Number
- 617-230-2275
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 28, 2017
- Last Update Date
- October 9, 2021
- Certification Date
- October 9, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 53 Park Ave
Winthrop, MA 02152-2559 - City
- Winthrop
- State
- Massachusetts
- Zip
- 02152-2559
- Phone Number
- 617-230-2275
Provider Business Mailing Address Details
- Address
- 53 Park Ave
Winthrop, MA 02152-2559 - City
- Winthrop
- State
- MA
- Zip
- 02152-2559
License Information
- License Number
- 3412
- License State
- MA
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Diandra Gillis?
The NPI number of Diandra Gillis is 1871017061. It was assigned on July 28, 2017 and is currently active in the NPPES registry.
What is the specialty of Diandra Gillis?
Diandra Gillis is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 3412.
Where does Diandra Gillis practice?
The practice location is 53 Park Ave, Winthrop, MA 02152-2559. The office can be reached at 617-230-2275 (phone).
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 1871017061 directly on the NPPES registry website.