Jennifer Jean Wages, ATC, OTC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT-995 Issued in CO

Practice address

3010 N Circle Dr
Ste 100
Colorado Springs, CO 80909-1182

Phone

(719) 632-7669

Fax

(719) 632-0088

NPI assigned

Jul 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Jennifer Jean Guy Sutherland 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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1275898769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 E WOODMEN RD",
            "address_2": "STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232602",
            "telephone_number": "719-574-8383",
            "fax_number": "719-574-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 N CIRCLE DR",
            "address_2": "STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091182",
            "telephone_number": "719-632-7669",
            "fax_number": "719-632-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGES",
        "first_name": "JENNIFER",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "ATC, OTC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "AT-995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GUY SUTHERLAND",
            "middle_name": "JEAN",
            "prefix": "MRS.",
            "credential": "ATC, OTC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janelle Wagenknecht, MA, LPCC, ADDC
• Corey Wager, DPT
• Erika Nicole Wager
• Diedre A Wagers, M.D.
• Chelsea Wages, MFTC
• Skyler Wages
• Clinton C Waggoner CH
• Waggoner Chiropractic Health Center, LLC
• Addison Jade Waggoner
• Garrett Waggoner, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.