Active NPI
Joshua Robert Jeffrey, ATC, EMT-B
- Athletic Trainer
- Loveland, CO
National Provider Identifier
1316240278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 917
- Practice address
- 509 E 13TH St
Loveland, CO 80537-4935 - Phone
- (260) 602-2745
- NPI assigned
- Dec 15, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 052249 | CO | |
| Athletic Trainer | 2255A2300X | 917 | CO | Primary |
Addresses
Primary practice location
509 E 13TH St
Loveland, CO 80537-4935
Mailing address
509 E 13TH St
Loveland, CO 80537-4935
Phone (260) 602-2745
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 |
|---|---|---|---|
| 917 | CO | MD | Professional Counselor |
| 052249 | CO | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292371200000",
"number": "1316240278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 E 13TH ST",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805374935",
"telephone_number": "260-602-2745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 E 13TH ST",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805374935",
"telephone_number": "260-602-2745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFREY",
"first_name": "JOSHUA",
"middle_name": "ROBERT",
"credential": "ATC, EMT-B",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-15",
"last_updated": "2010-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "CO",
"license": "052249",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CO",
"license": "917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.