Active NPI
Jared McKenzy Hyler, ATC, LAT
- Athletic Trainer
- Cape Girardeau, MO
National Provider Identifier
1265957138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2017027900
- Practice address
- 1 University PLZ
Cape Girardeau, MO 63701-4710 - Phone
- (573) 651-2858
- NPI assigned
- Aug 11, 2017
- Sex
- Male
- 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 | 2017027900 | MO | Primary |
Addresses
Primary practice location
1 University PLZ
Cape Girardeau, MO 63701-4710
Mailing address
1 University PLZ
Cape Girardeau, MO 63701-4710
Other practice location 1
5519 Hunley Ct.
Columbia, MO 65201
Phone (573) 489-8688
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 |
|---|---|---|---|
| 2017027900 | MO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1265957138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 UNIVERSITY PLZ",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637014710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 UNIVERSITY PLZ",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637014710",
"telephone_number": "573-651-2858"
}
],
"practiceLocations": [
{
"address_1": "5519 Hunley Ct.",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "65201",
"country_code": "US",
"telephone_number": "573-489-8688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HYLER",
"first_name": "JARED",
"middle_name": "MCKENZY",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-11",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "2017027900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.