Active NPI
Gregory A Jensen, MS, ATC, EMT-B
- Athletic Trainer
- Fort Collins, CO
National Provider Identifier
1154370427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 141 Moby Arena
Colorado State University
Fort Collins, CO 80523-1887 - Phone
- (970) 290-1717
- NPI assigned
- May 6, 2006
- 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 | Primary |
Addresses
Primary practice location
141 Moby Arena
Colorado State University
Fort Collins, CO 80523-1887
Mailing address
1655 Tabeguache Mountain Dr
Loveland, CO 80538-7238
Phone (970) 290-1717
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467331200000",
"number": "1154370427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 TABEGUACHE MOUNTAIN DR",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805387238",
"telephone_number": "970-290-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 MOBY ARENA",
"address_2": "COLORADO STATE UNIVERSITY",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805231887",
"telephone_number": "970-290-1717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "GREGORY",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MS, ATC, EMT-B",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-06",
"last_updated": "2016-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.