Active NPI
Jonathan Plummer, LAT, ATC
- Athletic Trainer
- Salisbury, NC
National Provider Identifier
1124259239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1643
- Practice address
- 1035 Lincolnton Rd
Salisbury, NC 28144-6277 - Phone
- (704) 638-9990
- Fax
- (704) 603-1344
- NPI assigned
- Aug 6, 2009
- 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 | 1643 | NC | Primary |
Addresses
Primary practice location
1035 Lincolnton Rd
Salisbury, NC 28144-6277
Mailing address
1035 Lincolnton Rd
Salisbury, NC 28144-6277
Phone (704) 638-9990
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1643 | NC | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259539200000",
"number": "1124259239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 LINCOLNTON RD",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281446277",
"telephone_number": "704-638-9990",
"fax_number": "704-603-1344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 LINCOLNTON RD",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281446277",
"telephone_number": "704-638-9990",
"fax_number": "704-603-1344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUMMER",
"first_name": "JONATHAN",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-06",
"last_updated": "2009-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "1643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.