Active NPI
Jennifer Lyn Lewis, ATC, LAT
- Athletic Trainer
- Jupiter, FL
National Provider Identifier
1063787364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL5763
- Practice address
- 1701 Military TRL Ste 145a
Jupiter, FL 33458-6330 - Phone
- (561) 781-0989
- NPI assigned
- Mar 20, 2012
- Last updated
- Feb 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | 2006018514 | MO | |
| Athletic Trainer | 2255A2300X | AL5763 | FL | Primary |
Addresses
Primary practice location
1701 Military TRL Ste 145a
Jupiter, FL 33458-6330
Mailing address
1701 Military TRL Ste 145a
Jupiter, FL 33458-6330
Phone (561) 781-0989
Other names 1
- Jennifer Lyn Artioli
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006018514 | MO | MD | Health Educator |
| AL5763 | FL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jupiter Chiropractic PLLC | Current | Accepting new patients |
Locations
1701 Military Trl
Ste 145A
Jupiter, FL 33458
Phone (561) 781-0989
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1063787364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 MILITARY TRL STE 145A",
"city": "JUPITER",
"state": "FL",
"postal_code": "334586330",
"telephone_number": "561-781-0989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 MILITARY TRL STE 145A",
"city": "JUPITER",
"state": "FL",
"postal_code": "334586330",
"telephone_number": "561-781-0989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JENNIFER",
"middle_name": "LYN",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-20",
"last_updated": "2022-02-23",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "MO",
"license": "2006018514",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL5763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "ARTIOLI",
"middle_name": "LYN",
"credential": "ATC, LAT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.