Jennifer Joy Hardin Huseman, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT.0001164 Issued in CO

Practice address

1201 5TH St
Denver, CO 80204-2005

Phone

(303) 615-1328

NPI assigned

Mar 21, 2006

Last updated

Apr 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Miss Jennifer Joy Hardin 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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1225097959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173362",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802173362",
            "telephone_number": "417-770-4017",
            "fax_number": "303-556-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 5TH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802042005",
            "telephone_number": "303-615-1328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Humphreys 218",
            "address_2": "University of Central Missouri",
            "address_purpose": "LOCATION",
            "city": "Warrensburg",
            "state": "MO",
            "postal_code": "64093",
            "country_code": "US",
            "telephone_number": "660-580-0054",
            "fax_number": "660-543-8847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSEMAN",
        "first_name": "JENNIFER",
        "middle_name": "JOY HARDIN",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "AT.0001164",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "1999135153",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES",
            "identifier": "AT.0001164",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI DIVISION OF PROFESSIONAL REGISTRATION",
            "identifier": "1999135153",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HARDIN",
            "middle_name": "JOY",
            "prefix": "MISS",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William 'Sid' H. Huryk Jr., D.C.
• Matthew Rolland Husa, M.D.
• Ruchika Dutta Husa, M.D
• Shelby L. Husband Jr., DNP, APRN, PMHNP-BC
• Betsy W Huseby, RPT
• Rebecca Smutzer Huser, DDS
• Luann Joyce Husmann, RDH
• Mary Catherine W Husney, MD
• Irfan Hussain, MD
• Israa Hussein

• Athletic Trainer in Denver, CO
• Providers in Denver, CO by specialty
• Athletic Trainer in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.