Active NPI
Carrie Leone Jilek, ATC
- Athletic Trainer
- Ottawa, KS
National Provider Identifier
1407992522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 24-00179
- Practice address
- 1120 S Ash St
Ottawa, KS 66067-3415 - Phone
- (785) 229-8020
- NPI assigned
- Jan 29, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 24-00179 | KS | Primary |
Addresses
Primary practice location
1120 S Ash St
Ottawa, KS 66067-3415
Mailing address
3159 Clark Rd
Richmond, KS 66080-9196
Phone (785) 835-6505
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 |
|---|---|---|---|
| 24-00179 | KS | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407992522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3159 CLARK RD",
"city": "RICHMOND",
"state": "KS",
"postal_code": "660809196",
"telephone_number": "785-835-6505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 S ASH ST",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660673415",
"telephone_number": "785-229-8020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JILEK",
"first_name": "CARRIE",
"middle_name": "LEONE",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KS",
"license": "24-00179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ottawa, KS
- Suzannah Ingles-Nguyen
- Jacob B Goldstein DPM LLC (Foot Pain Center of Kansas City)
- James a Eaton OD Family Vision Care LLC
- Jdan, LLC (Main Street Dental)
- Jessica M Johnson DDS PA (Ottawa Kansas Dentistry)
- Chad E. Johnson, LMFT
- Denise M Johnson, LMSW
- Megan Elizabeth Jones, PT
- Julie Dandreo (Julie Dandreo Professional SLP Services)
- Cheri L Jung, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.