Coree Georgenson, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0000001827 Issued in TN

Practice address

2130 Branner Ave
Jefferson City, TN 37760-2210

Phone

(865) 471-4162

NPI assigned

Jan 8, 2015

Sex

Female

Sole proprietor

No

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 8, 2015.

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1043608482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 BRANNER AVE",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602210",
            "telephone_number": "865-471-4162"
        },
        {
            "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": "865-471-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGENSON",
        "first_name": "COREE",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "0000001827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Jefferson City, TN
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.