Jermaine R Seagears

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

NV20191417389 Issued in NV

Practice address

450 S Buffalo Dr Ste 111
Las Vegas, NV 89145-4442

Phone

(240) 839-8003

NPI assigned

Mar 9, 2022

Last updated

Mar 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Work Or Don'T Eat, LLC

  • Athletic Trainer
  • Las Vegas, NV
  • NPI 1811630668
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1285381228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 S FORT APACHE RD STE 135-155",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891486752",
            "telephone_number": "240-839-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S BUFFALO DR STE 111",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891454442",
            "telephone_number": "240-839-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAGEARS",
        "first_name": "JERMAINE",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NV",
            "license": "NV20191417389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sea Side Transit LLC (Vegas Light Care PCA LLC)
• Tommie Lee Sea Jr.
• Tekakwitha Seaboy
• Seabreeze Holistic Care LLC
• Nicole Shari Seabrook
• Sara Jean Seal
• Patricia Seals Jackson
• Beverlee Seals-Caradine
• Dana Ann Seaman, PT
• Donald Seaman

• Athletic Trainer in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Athletic Trainer in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.