Active NPI
Jenna Elizabeth Byrd, ATC, MS, SCAT
- Athletic Trainer
- Charleston, SC
National Provider Identifier
1245887843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000019209
- Practice address
- 171 Moultrie St
Charleston, SC 29409-0002 - Phone
- (843) 557-2269
- NPI assigned
- Aug 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 2000019209 | SC | Primary |
Addresses
Primary practice location
171 Moultrie St
Charleston, SC 29409-0002
Mailing address
3 Grier Avenue
Seignious Hall 2ND Floor Room 200
Charleston, SC 29409
Phone (843) 953-6867
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sportsmedicine@citadel.edu | Direct |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000019209 | SC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566259200000",
"number": "1245887843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 GRIER AVENUE",
"address_2": "SEIGNIOUS HALL 2ND FLOOR ROOM 200",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29409",
"telephone_number": "843-953-6867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 MOULTRIE ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294090002",
"telephone_number": "843-557-2269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRD",
"first_name": "JENNA",
"middle_name": "ELIZABETH",
"credential": "ATC, MS, SCAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-20",
"last_updated": "2019-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "SC",
"license": "2000019209",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sportsmedicine@citadel.edu",
"affiliation": "N",
"endpointDescription": "department email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "medical records",
"address_1": "171 Moultrie St",
"city": "Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294090002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.