Jenna Marie Krizo, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT.0001905 Issued in CO

Practice address

1010 Three Springs Blvd
Durango, CO 81301

Phone

(970) 247-4311

NPI assigned

Jun 28, 2017

Sex

Female

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

State licenses

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1376064527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MILLER DR APT A",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014747",
            "telephone_number": "714-732-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 THREE SPRINGS BLVD",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81301",
            "telephone_number": "970-247-4311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "S San Francisco St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860110001",
            "country_code": "US",
            "telephone_number": "505-920-2704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "S San Francisco St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860110001",
            "country_code": "US",
            "telephone_number": "505-920-2704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRIZO",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "credential": "LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "1505",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "AT.0001905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simon Kotlyar
• Kristin E Kozak, RN
• Gina MK Kramer, MCJ, LCSW
• Cynthia Renae Kraushaar, PT
• Kristin Spiegel, LCSW, LLC
• Bryttani A Krob, LPCC
• Clara Jane Krug
• Abigail Lynn Kubicek, LCSW
• Julyet Lace Kudo, LPC
• Julia Kuenker

• Athletic Trainer in Durango, CO
• Providers in Durango, CO by specialty
• Athletic Trainer in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.