Jessica Nodal, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL5698 Issued in FL

Practice address

4202 E Fowler Ave Stop Ath100
Tampa, FL 33620-8455

Phone

(702) 403-9658

NPI assigned

Jul 18, 2019

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

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: jnodal158945@direct.tgh.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1043863111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13560 CYPRESS GLEN LN UNIT 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336371116",
            "telephone_number": "702-403-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 E FOWLER AVE STOP ATH100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336208455",
            "telephone_number": "702-403-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NODAL",
        "first_name": "JESSICA",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL5698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen G. Noblitt, PT
• Hondrey Noda Jr.
• Lissette Noda, DPT
• Lauren Nodal Cartaya
• Nodal Medical Center LLC
• Osvanny Nodal, MD
• Rondi Kylian Noden, MSW
• Lisa A Nodzon, ARNP
• Icledanne Noel-Accilien, APRN
• Britannia Noel

• Athletic Trainer in Tampa, FL
• Providers in Tampa, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.