Individual provider Active NPI

Jennifer Lyn Lewis, ATC, LAT

  • Athletic Trainer
  • Jupiter, FL
National Provider Identifier
1063787364
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AL5763 Issued in FL
Practice address
1701 Military TRL Ste 145a
Jupiter, FL 33458-6330
Phone
(561) 781-0989
NPI assigned
Mar 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
2006018514MOMDHealth Educator
AL5763FLMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Chiropractic PLLC CurrentSince Feb 27, 2022 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.