Hannah Mary Agnes Jasienski, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT006056 Issued in PA

Practice address

16069 US Highway 6 and 19 Apt 1a
Meadville, PA 16335-9694

Phone

(484) 889-2351

NPI assigned

Feb 12, 2015

Sex

Female

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

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1396136297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16069 US HIGHWAY 6 AND 19 APT 1A",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163359694",
            "telephone_number": "484-889-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16069 US HIGHWAY 6 AND 19 APT 1A",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163359694",
            "telephone_number": "484-889-2351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 College Ave",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "PA",
            "postal_code": "161252186",
            "country_code": "US",
            "telephone_number": "484-889-2351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JASIENSKI",
        "first_name": "HANNAH",
        "middle_name": "MARY AGNES",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT006056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interim Healthcare of Pittsburgh, Inc.
• Yuriy Iskrenko, DO
• Jack K. Vandervort
• Bradley D Jackson, DC
• Monica Jackson, DPT
• Stephen Luke Jaussen
• Jennifer Porter Counseling LLC
• Jennifer Porter Counseling LLC
• John a Hlaudy DMD, Oral and Maxillofacial Surgery, PC
• Denise Audrey Johnson, MD

• Athletic Trainer in Meadville, PA
• Providers in Meadville, PA by specialty
• Athletic Trainer in Pennsylvania

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