Individual provider Active NPI

Jennifer Lynne Brossman, ATC, AT/L

  • Athletic Trainer
  • Pullman, WA
National Provider Identifier
1386910685
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
280 NW Brandon Dr
Pullman, WA 99163-3677
Phone
(509) 330-0362
NPI assigned
Mar 30, 2012
Last updated
Mar 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X WA Primary

Addresses

Primary practice location

280 NW Brandon Dr
Pullman, WA 99163-3677

Mailing address

280 NW Brandon Dr
Pullman, WA 99163-3677
Phone (509) 330-0362

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

Interoperability endpoints

  • Direct secure messaging: jennifer.brossmanatc.p1@direct.orthonorcal.nextgenshare.com
  • Direct secure messaging: jenniferl.brossman.p2@direct.muirortho.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1386910685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 NW BRANDON DR",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991633677",
            "telephone_number": "509-330-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 NW BRANDON DR",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991633677",
            "telephone_number": "509-330-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSSMAN",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "credential": "ATC, AT/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pullman, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.