Individual provider Active NPI

Jill Rene Rondini, A.T.

  • Athletic Trainer
  • Oberlin, OH
National Provider Identifier
1073589511
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT1774 Issued in OH
Practice address
200 Woodland St
Oberlin, OH 44074-1051
Phone
(440) 775-8568
Fax
(440) 775-8616
NPI assigned
Feb 24, 2006
Last updated
Oct 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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 AT1774 OH Primary

Addresses

Primary practice location

200 Woodland St
Oberlin, OH 44074-1051

Mailing address

27825 Detroit Rd Apt 413
Westlake, OH 44145-2186
Phone (440) 935-3870

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
AT1774OHMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1073589511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27825 DETROIT RD APT 413",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452186",
            "telephone_number": "440-935-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WOODLAND ST",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440741051",
            "telephone_number": "440-775-8568",
            "fax_number": "440-775-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDINI",
        "first_name": "JILL",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "A.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT1774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oberlin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.