Individual provider Active NPI

Jane Nesvog, ATC

  • Athletic Trainer
  • Fort Collins, CO
National Provider Identifier
1073479689
Registry record updated Dec 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0002795 Issued in CO
Practice address
2914 Golden Harvest LN
Fort Collins, CO 80528-3137
Phone
(970) 222-1011
NPI assigned
Dec 27, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0002795 CO Primary

Addresses

Primary practice location

2914 Golden Harvest LN
Fort Collins, CO 80528-3137

Mailing address

2914 Golden Harvest LN
Fort Collins, CO 80528-3137
Phone (970) 222-1011

Other practice location 1

1920 Country Club Rd
Fort Collins, CO 80524-1910
Phone (970) 222-1011

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
0002795COMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1766793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766793600000",
    "number": "1073479689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 GOLDEN HARVEST LN",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283137",
            "telephone_number": "970-222-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 GOLDEN HARVEST LN",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283137",
            "telephone_number": "970-222-1011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805241910",
            "country_code": "US",
            "telephone_number": "970-222-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NESVOG",
        "first_name": "JANE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-27",
        "last_updated": "2025-12-27",
        "certification_date": "2025-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "0002795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2025; 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.