Active NPI
Jennifer Sosnowski
- Student in an Organized Health Care Education/Training Program
- Hattiesburg, MS
National Provider Identifier
1083330666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 29 Park PL Apt 705
Hattiesburg, MS 39402-1565 - Phone
- (901) 674-6948
- NPI assigned
- Oct 17, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Athletic Trainer | 2255A2300X | MS | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
29 Park PL Apt 705
Hattiesburg, MS 39402-1565
Mailing address
9083 Crutchfield CV
Bartlett, TN 38133-4205
Phone (901) 674-6948
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": "1665964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1083330666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9083 CRUTCHFIELD CV",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381334205",
"telephone_number": "901-674-6948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 PARK PL APT 705",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021565",
"telephone_number": "901-674-6948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOSNOWSKI",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-17",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MS",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
- Willem Sorgeloos, DPM
- Maria C Soriano, MD
- Luther W Sorrell, CRNA
- Sharon Sorrells, FNP
- Sos Transitional Living Services, LLC
- Eduardo Fernando Soto Interiano, M.D.
- Soul Care Empowerment Institute, Inc.
- Soul Care Enterprises, Inc.
- South Mississippi Associate in Radiation Therapy, PLLC
- South Mississippi Dental Care PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.