Jillian Martenson, A.T., A.T.C

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601000268 Issued in MI

Practice address

10860 Highland Rd
Hartland, MI 48353-2629

Phone

(810) 632-1000

NPI assigned

Mar 20, 2017

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

Other names 1

• Jillian Kauppi 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": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1285175422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10860 HIGHLAND RD",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532629",
            "telephone_number": "810-632-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10860 HIGHLAND RD",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532629",
            "telephone_number": "810-632-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTENSON",
        "first_name": "JILLIAN",
        "name_prefix": "Mrs.",
        "credential": "A.T., A.T.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601000268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "KAUPPI",
            "credential": "A.T., A.T.C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber Mandler
• Madison Marie Manier
• Jouni Mantyla, PT
• Cassandra Marentette
• Rebecca Martel
• Cecilia Anna Martinez
• Sydney Jordan Martinez
• Aleigha Maten
• Matthew McKenna, MD, PLLC (Hartland Family Medicine)
• Matthew Ora DDS PC

• Athletic Trainer in Hartland, MI
• Providers in Hartland, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.