Jennifer Fogleman

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

ATH.200095 Issued in LA

Practice address

7925 Youree Dr
Shreveport, LA 71105-5127

Phone

(337) 280-0460

NPI assigned

Aug 31, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1154934974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 DARBONNE DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7925 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055127",
            "telephone_number": "337-280-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGLEMAN",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "LA",
            "license": "ATH.200095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.wkhs.com",
            "affiliation": "N",
            "address_1": "7925 Youree Dr",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711055127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.wkhs.com",
            "affiliation": "N",
            "address_1": "7925 Youree Dr",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711055127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Jarrett Fobbs
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• Synovia Folarin
• Ashley Christine Fondahn
• Carrie Fontaine
• Bailli Fontenot
• Brian Keith Fontenot, PA-C

• Athletic Trainer in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Athletic Trainer in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.