Kristal M Jensen, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

ATR-100102 Issued in AZ

Practice address

1 W Firestorm Way
Glendale, AZ 85306-3216

Phone

(541) 910-1157

NPI assigned

Aug 2, 2024

Last updated

Aug 2, 2024By 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 1

Addresses

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": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1275363517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 N 95TH AVE APT 333",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853051338",
            "telephone_number": "541-910-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W FIRESTORM WAY",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063216",
            "telephone_number": "541-910-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "KRISTAL",
        "middle_name": "M",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "ATR-100102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Fineberg DDS PC
• Natalie Jennings
• Jenny Landsberg (Pediatric Therapy Specialists)
• Jensen Moore Chiropractic PLLC (Arizona Family Wellness)
• Douglas P Jensen, MD
• Mark Jensen, D.D.S.
• Rebecca Ely Jensen, M.S.,CCC-SLP
• Grace Eunhee Jeong, D.D.S.
• Jerrold K. Altman DMD,PC
• Indrajith Jetti

• Athletic Trainer in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.