Jamie Lynn Creger, AT

Key facts

NPI

1043979537

Entity type

Individual (NPI type 1)

Primary specialty

Athletic Trainer 2255A2300X

License

2601000579 (MI)

Practice address

1010 W North Down River Rd
Grayling, MI 49738-2060

Phone

(989) 348-0880

NPI assigned

Dec 11, 2021

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 11, 2021.

{
    "created_epoch": "1639180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639180800000",
    "number": "1043979537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W NORTH DOWN RIVER RD",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497382060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W NORTH DOWN RIVER RD",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497382060",
            "telephone_number": "989-348-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREGER",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "AT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-11",
        "last_updated": "2021-12-11",
        "certification_date": "2021-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601000579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayling, MI

• China Rose Collison, BEHAVIOR TECHNICIAN
• Kristina Nicole Comer
• Haim Bernardo Cotlear Stuart, M.D.
• Crawford County Commission on Aging
• Marie Crawford
• Peggy Curriston, PHARM.D.
• Katherine Cutright
• Garrick R. Cvitkovich, MD
• Patsy Ann Daly
• Bruce Daman, NP

All providers in Grayling, MI · Athletic Trainer in Michigan