Active NPI
Jolynn Leisinger
- Athletic Trainer
- Ogden, UT
National Provider Identifier
1073910329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 4935 Old Post Rd
68
Ogden, UT 84403-4360 - Phone
- (307) 699-0714
- NPI assigned
- Dec 2, 2014
- Last updated
- Dec 2, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | NU | Primary |
Addresses
Primary practice location
4935 Old Post Rd
68
Ogden, UT 84403-4360
Mailing address
PO Box 1362
670 East Hall Ave
Jackson, WY 83001-1362
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417478400000",
"number": "1073910329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1362",
"address_2": "670 EAST HALL AVE",
"city": "JACKSON",
"state": "WY",
"postal_code": "830011362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4935 OLD POST RD",
"address_2": "68",
"city": "OGDEN",
"state": "UT",
"postal_code": "844034360",
"telephone_number": "307-699-0714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEISINGER",
"first_name": "JOLYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-02",
"last_updated": "2014-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.