Individual provider Active NPI

Jaime Pachesa, ATC

  • Athletic Trainer
  • Bronx, NY
National Provider Identifier
1013520741
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
002967 Issued in NY
Practice address
231 W 246TH St
Bronx, NY 10471-3430
Phone
(718) 432-3804
NPI assigned
Aug 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 002967 NY Primary

Addresses

Primary practice location

231 W 246TH St
Bronx, NY 10471-3430

Mailing address

333 E 75TH St Apt 4H
New York, NY 10021-3051
Phone (203) 687-7398

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jaime_pachesa@horacemann.org Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1013520741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E 75TH ST APT 4H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213051",
            "telephone_number": "203-687-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W 246TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104713430",
            "telephone_number": "718-432-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHESA",
        "first_name": "JAIME",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "002967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaime_pachesa@horacemann.org",
            "affiliation": "N",
            "endpointDescription": "Horace Mann Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "231 W 246th St",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104713430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.