Rachel Jackson, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2130 Branner Ave
Jefferson City, TN 37760-2210

Phone

(865) 471-2000

NPI assigned

Jul 9, 2024

Last updated

Jul 9, 2024By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1023855061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 RUSSELL AVE",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 BRANNER AVE",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602210",
            "telephone_number": "865-471-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "RACHEL",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Huntsman, FNP
• Hunter Hurley, OD
• Kevin Dwayne Hyatt, B.S.
• Independant Physical Therapy
• Denette Jackson, APRN
• Stephanie M James, PHARMD
• Jeff City Pharmacist Group LLC Dba MD Pharmacy Store 2 (M.D. Pharmacy Store 2)
• Jefferson City Operations, LLC (Life Care Center of Jefferson City)
• Jefferson City Senior Center
• Jefferson County EMS

• Athletic Trainer in Jefferson City, TN
• Providers in Jefferson City, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.