Jennifer Stanshaw-Basa, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000000185 Issued in CA

Practice address

5199 Ivy St
Commerce City, CO 80022-4404

Phone

(800) 289-3595

NPI assigned

Aug 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Stanshaw Former name

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": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1184390643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DR STE 1200W",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014624",
            "telephone_number": "469-261-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5199 IVY ST",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800224404",
            "telephone_number": "800-289-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANSHAW-BASA",
        "first_name": "JENNIFER",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "2000000185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "STANSHAW",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lance Dean Snape
• Drew Waite Snyder
• South Adams County Fire Protection District No 4
• Margaret Renee Spampinato, RPH
• Hailey Spitzer
• Stay Ready LTD
• Jeri Steppat
• Brook Stevens, AGACNP-BC
• Charla Stilling
• Ryen Stone

• Athletic Trainer in Commerce City, CO
• Providers in Commerce City, CO by specialty
• Athletic Trainer in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.