Spencer D Jenkins Jr., ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

59 College Ave # 994
Buckhannon, WV 26201-2600

Phone

(571) 420-8714

NPI assigned

Feb 19, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1194520478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42578 HOLLYHOCK TER",
            "city": "BRAMBLETON",
            "state": "VA",
            "postal_code": "201484839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 COLLEGE AVE # 994",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012600",
            "telephone_number": "571-420-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "SPENCER",
        "middle_name": "D",
        "name_suffix": "Jr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Jackson
• Kaitlin Michell Jackson
• Janet Sue Jeffries
• Gabriella Jenab, PHARMD
• Janice Arlene Jenkins
• Thomas Scott Jenks, CRNA
• Stephen H Jeran, D.D.S.
• Jerry N Black Surgical Suite
• Sheyenne Jett
• JK Marketing, LLC

• Athletic Trainer in Buckhannon, WV
• Providers in Buckhannon, WV by specialty
• Athletic Trainer in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.