Active NPI
Jacob Briggs, LAT, ATC
- Athletic Trainer
- Albuquerque, NM
National Provider Identifier
1174039747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 721
- Practice address
- 1414 University Blvd SE
Albuquerque, NM 87106 - Phone
- (816) 223-4349
- NPI assigned
- Dec 19, 2017
- 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 | 721 | NM | Primary |
Addresses
Primary practice location
1414 University Blvd SE
Albuquerque, NM 87106
Mailing address
1741 Bellamah Ave NW Apt 4308
Albuquerque, NM 87104-2263
Phone (816) 223-4349
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 |
|---|---|---|---|
| 721 | NM | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513641600000",
"number": "1174039747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1741 BELLAMAH AVE NW APT 4308",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871042263",
"telephone_number": "816-223-4349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 UNIVERSITY BLVD SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87106",
"telephone_number": "816-223-4349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGGS",
"first_name": "JACOB",
"name_prefix": "Mr.",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-19",
"last_updated": "2017-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NM",
"license": "721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.