Active NPI
Jessica Lynn Rentas
- Athletic Trainer
- Sanford, FL
National Provider Identifier
1326484726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL 3445
- Practice address
- 1200 Lexington Green LN
Sanford, FL 32771-1013 - Phone
- (407) 322-8404
- NPI assigned
- May 13, 2013
- 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 | AL 3445 | FL | Primary |
Addresses
Primary practice location
1200 Lexington Green LN
Sanford, FL 32771-1013
Mailing address
2400 Queenswood Cir
Kissimmee, FL 34743-3411
Phone (407) 973-9524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 686675 | Other | MEDICARE |
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 |
|---|---|---|---|
| AL 3445 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368403200000",
"number": "1326484726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 QUEENSWOOD CIR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347433411",
"telephone_number": "407-973-9524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 LEXINGTON GREEN LN",
"city": "SANFORD",
"state": "FL",
"postal_code": "327711013",
"telephone_number": "407-322-8404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENTAS",
"first_name": "JESSICA",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-13",
"last_updated": "2013-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL 3445",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "686675",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.