Active NPI
Allison Jacobs
- Athletic Trainer
- University Park, PA
National Provider Identifier
1306220595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- The Pennsylvania State University
Lasch Football Building
University Park, PA 16802 - Phone
- (814) 865-0412
- NPI assigned
- Jul 17, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
The Pennsylvania State University
Lasch Football Building
University Park, PA 16802
Mailing address
The Pennsylvania State University
Lasch Football Building
University Park, PA 16802
Phone (814) 865-0412
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1306220595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "THE PENNSYLVANIA STATE UNIVERSITY",
"address_2": "LASCH FOOTBALL BUILDING",
"city": "UNIVERSITY PARK",
"state": "PA",
"postal_code": "16802",
"telephone_number": "814-865-0412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "THE PENNSYLVANIA STATE UNIVERSITY",
"address_2": "LASCH FOOTBALL BUILDING",
"city": "UNIVERSITY PARK",
"state": "PA",
"postal_code": "16802",
"telephone_number": "814-865-0412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "ALLISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-17",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in University Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.