Active NPI
Jesse Corriveau, LAT, ATC
- Athletic Trainer
- New London, NH
National Provider Identifier
1114557105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1409
- Practice address
- 541 Main St
New London, NH 03257-7818 - Phone
- (603) 526-3400
- NPI assigned
- Jan 19, 2020
- Last updated
- Jun 14, 2026
- Sex
- Male
- Sole proprietor
- No
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 | 1409 | NH | Primary |
Addresses
Primary practice location
541 Main St
New London, NH 03257-7818
Mailing address
541 Main St
New London, NH 03257-7818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jesse.corriveau@my.colby-sawyer.edu | Direct |
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": "1579392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781395200000",
"number": "1114557105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 MAIN ST",
"city": "NEW LONDON",
"state": "NH",
"postal_code": "032577818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 MAIN ST",
"city": "NEW LONDON",
"state": "NH",
"postal_code": "032577818",
"telephone_number": "603-526-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRIVEAU",
"first_name": "JESSE",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-19",
"last_updated": "2026-06-14",
"certification_date": "2026-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NH",
"license": "1409",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jesse.corriveau@my.colby-sawyer.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "541 Main St",
"city": "New London",
"state": "NH",
"country_code": "US",
"postal_code": "032577818",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New London, NH
- CL Counseling PLLC
- Christopher Lee Clemens, DMD
- Colonial Clinical Services LLC
- Concord Orthopaedics Professional Association
- Concord Pediatric Dentistry of New London, PLLC
- Counseling Associates of New London PLLC
- Maria Alexandrovna Coy, MS, LCMHC
- John Max Culp Jr., ATC
- Hope Elizabeth Damon, R.D., C.D.E., L.D.
- Ingrid Olmstead Dattoli, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.