Jody Franken

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

117773 Issued in MO

Practice address

3107 Frederick Ave
Saint Joseph, MO 64506-2956

Phone

(816) 233-9555

Fax

(816) 279-1423

NPI assigned

Oct 28, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1013389147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 FREDERICK AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062956",
            "telephone_number": "816-233-9555",
            "fax_number": "816-279-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 FREDERICK AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062956",
            "telephone_number": "816-233-9555",
            "fax_number": "816-279-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKEN",
        "first_name": "JODY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "117773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Daniel Forrest, M.D.
• Mandy Jean Forret, PTA
• Trey Kyle Forward
• David R Foster, M.S.
• Foundation Recovery Center
• Scott Alan Franksen, DO
• Fred E. Potts IV, M.D.
• Fred E. Potts, IV, MD, LLC
• Kenton C. Freeman, MD
• Steven P Freeman, D.O.

• All providers in Saint Joseph, MO
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.