Active NPI
Jake Carmer, LAT, ATC
- Athletic Trainer
- Lexington, KY
National Provider Identifier
1124825104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT2283
- Practice address
- 338 Lexington Ave
Lexington, KY 40508 - Phone
- (859) 257-6490
- NPI assigned
- Feb 27, 2025
- 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 | AT2283 | KY | Primary |
Addresses
Primary practice location
338 Lexington Ave
Lexington, KY 40508
Mailing address
1809 Meeting St Apt 10230
Lexington, KY 40509-4614
Phone (949) 558-8605
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 |
|---|---|---|---|
| AT2283 | KY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765929600000",
"number": "1124825104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 MEETING ST APT 10230",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405094614",
"telephone_number": "949-558-8605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "338 LEXINGTON AVE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40508",
"telephone_number": "859-257-6490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMER",
"first_name": "JAKE",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-27",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KY",
"license": "AT2283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.