Jacob Josiah Stockland, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT7892 Issued in TX

Practice address

2237 S. Jackson
San Angelo, TX 76904

Phone

(325) 481-2036

NPI assigned

Jun 11, 2019

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

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

• Shannon Clinic

  • Family Medicine Physician
  • San Angelo, TX
  • NPI 1770587149
  NPD (past)

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1316506595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 SWEETBRIAR DR APT 402",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046728",
            "telephone_number": "254-251-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 S. JACKSON",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76904",
            "telephone_number": "325-481-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKLAND",
        "first_name": "JACOB",
        "middle_name": "JOSIAH",
        "credential": "LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT7892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Steele, M.S., CCC-SLP
• Bradley Stevens, PA-C
• Dawn Stevenson, AGNP-C
• John A Stevenson, M.D.
• Sheila King Stewart, MED LPC
• Cynthia Stokes, RN, MSN, CNM
• Eugene Stokes, MD
• Samantha J Stokes, M.ED., LPC
• Stone Transit LLC
• Benjamin S. Storey, D.O.

• Athletic Trainer in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.