Healthcare Provider Details

I. General information

NPI: 1528640968
Provider Name (Legal Business Name): HANNAH NICOLE DARGIE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2021
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 INGALLS RD
CHESHIRE MA
01225-9571
US

IV. Provider business mailing address

230 INGALLS RD
CHESHIRE MA
01225-9571
US

V. Phone/Fax

Practice location:
  • Phone: 413-822-7518
  • Fax:
Mailing address:
  • Phone: 413-822-7518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number004428
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: