Jonathan Wilson, MAED, ATC, LAT, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1999 Issued in TN

Practice address

1050 Union University Dr # 1811
Jackson, TN 38305-3656

Phone

(731) 661-5307

NPI assigned

Sep 12, 2019

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

Electronic endpoints 1

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": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1023668019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 UNION UNIVERSITY DR # 1811",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053656",
            "telephone_number": "731-661-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 UNION UNIVERSITY DR # 1811",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053656",
            "telephone_number": "731-661-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JONATHAN",
        "credential": "MAED, ATC, LAT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "1999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwilson@uu.edu",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1050 Union University Dr # 1811",
            "city": "Jackson",
            "state": "TN",
            "country_code": "US",
            "postal_code": "383053656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donald A Wilson
• Dylan Wilson, PHARMD
• Elizabeth E Wilson, LCSW
• James M. Wilson, D.D.S.
• John Wilson
• Kristen L Wilson, LPC-MHSP (TEMP), NCC
• Laura Wilson, PT, DPT
• Salah Wilson, MSW
• Shirley Ann Wilson, CASE MANAGER
• Tina Wilson, M.D.

• Athletic Trainer in Jackson, TN
• Providers in Jackson, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.