Active NPI
Jenna Lea Bookler, MA, ATC, LAT, OTC
- Athletic Trainer
- Bloomington, MN
National Provider Identifier
1154729903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 3103
- Practice address
- 8100 Northland Dr
Bloomington, MN 55431-4800 - Phone
- (952) 831-8742
- NPI assigned
- Dec 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Assistant | 246ZX2200X | 19-0620 | ||
| Athletic Trainer | 2255A2300X | 3103 | MN | Primary |
Addresses
Primary practice location
8100 Northland Dr
Bloomington, MN 55431-4800
Mailing address
300 6TH Ave N
South Saint Paul, MN 55075-2044
Phone (952) 738-1285
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3103 | MN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1154729903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 6TH AVE N",
"city": "SOUTH SAINT PAUL",
"state": "MN",
"postal_code": "550752044",
"telephone_number": "952-738-1285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 NORTHLAND DR",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554314800",
"telephone_number": "952-831-8742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOKLER",
"first_name": "JENNA",
"middle_name": "LEA",
"credential": "MA, ATC, LAT, OTC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-10",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "246ZX2200X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Orthopedic Assistant",
"state": null,
"license": "19-0620",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "3103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.