Jessica M Hall, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

104-0000072 Issued in VT

Practice address

4 Kellogg Rd
Essex Junction, VT 05452-2815

Phone

(802) 578-1544

NPI assigned

Mar 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417072786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BOBOLINK CIR",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054522233",
            "telephone_number": "802-578-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 KELLOGG RD",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054522815",
            "telephone_number": "802-578-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VT",
            "license": "104-0000072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice D Goodrich, MSPT
• Stephen Gorman, M.D.
• Green Mountain Medical Store LLC
• Zoe Holiday Grossman
• Esther Elizabeth Halden, PT
• Oliver D F Hall, PT
• Hannah Engelken LLC
• Myra Harris, PHARM D, RPH
• Delaney Nicole Harrison
• Lindsay Hartline, M.A.

• Athletic Trainer in Essex Junction, VT
• Providers in Essex Junction, VT by specialty
• Athletic Trainer in Vermont

• 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.

Verify at the official NPI Registry.