Jessie Lee Zucnick-Kimbugwe, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

914 Issued in AL

Practice address

4900 Meridian St
Normal, AL 35762

Phone

(256) 372-8458

Fax

(256) 372-8480

NPI assigned

Jul 10, 2012

Last updated

Jul 10, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

• Alabama a&M University

  dba AAMU Sports Medicine

  • Student Health Clinic/Center
  • Normal, AL
  • NPI 1952731408
  Authorized official Same address or phone

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1053676551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3806 FORCE DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358102302",
            "telephone_number": "256-372-8458",
            "fax_number": "256-372-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MERIDIAN ST",
            "city": "NORMAL",
            "state": "AL",
            "postal_code": "35762",
            "telephone_number": "256-372-8458",
            "fax_number": "256-372-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCNICK-KIMBUGWE",
        "first_name": "JESSIE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Scott, MSW
• Catherine C Terry
• Ruth Allene Wilhite
• Daliscia Speights Williams
• Jameka Tradell Wright, MSW

• Athletic Trainer in Normal, AL
• Providers in Normal, AL by specialty
• Athletic Trainer in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.