Active NPI
Jasmine Elaine Succes, ATC
- Athletic Trainer
- Silver City, NM
National Provider Identifier
1407359185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 725
- Practice address
- 1000 W College Ave
Silver City, NM 88061-4112 - Phone
- (682) 402-3672
- NPI assigned
- Mar 9, 2018
- 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 | 725 | NM | Primary |
Addresses
Primary practice location
1000 W College Ave
Silver City, NM 88061-4112
Mailing address
370 N State Highway 360 Apt 8303
Mansfield, TX 76063-9039
Phone (682) 402-3672
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 |
|---|---|---|---|
| 725 | NM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520553600000",
"number": "1407359185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 N STATE HIGHWAY 360 APT 8303",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760639039",
"telephone_number": "682-402-3672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W COLLEGE AVE",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880614112",
"telephone_number": "682-402-3672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUCCES",
"first_name": "JASMINE",
"middle_name": "ELAINE",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-09",
"last_updated": "2018-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NM",
"license": "725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.