Active NPI
Jaime E Ford, ATC
- Sports Medicine (Preventive Medicine) Physician
- Owensboro, KY
National Provider Identifier
1285990259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Preventive Medicine) Physician
- License
- AT802
- Practice address
- 1723 Windsor Ave.,
Owensboro, KY 42301 - Phone
- (270) 316-4360
- NPI assigned
- Apr 4, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | AT802 | KY | Primary |
Addresses
Primary practice location
1723 Windsor Ave.,
Owensboro, KY 42301
Mailing address
1723 Windsor Ave.,
Owensboro, KY 42301
Phone (270) 316-4360
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 |
|---|---|---|---|
| AT802 | KY | MD | Sports Medicine (Preventive Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1285990259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1723 WINDSOR AVE.,",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "42301",
"telephone_number": "270-316-4360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1723 WINDSOR AVE.,",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "42301",
"telephone_number": "270-316-4360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "JAIME",
"middle_name": "E",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-04",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "2083S0010X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Sports Medicine",
"state": "KY",
"license": "AT802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.