Jeremy Herum, MS, LAT, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

3082 Issued in TN

Practice address

230 Citygreen Way Apt 314
Chattanooga, TN 37405-1484

Phone

(706) 994-9190

NPI assigned

Feb 13, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1346947215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CITYGREEN WAY APT 314",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374051484",
            "telephone_number": "706-994-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CITYGREEN WAY APT 314",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374051484",
            "telephone_number": "706-994-9190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 N Ocoee St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373114458",
            "country_code": "US",
            "telephone_number": "706-994-9190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERUM",
        "first_name": "JEREMY",
        "credential": "MS, LAT, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "3082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Herring, PT
• Katye Herring, M.D.
• Kelly Herron, OD
• Amanda Althea Hershberger, LMSW
• Gabriella Laura Noelle Hertle
• Daniel B Herz, M.D.
• Amy M Hess, MD
• Erin Hesterly, PHARMD
• Alan Hethcoat
• Donald Paul Hetzel, MD

• Athletic Trainer in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.