Jenna Beth Zettel, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2013023008 Issued in MO

Practice address

5655 S 4TH St
Saint Joseph, MO 64504-1708

Phone

(701) 206-0452

Fax

(816) 671-4030

NPI assigned

Apr 26, 2016

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": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1437504594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 S 4TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645041708",
            "telephone_number": "701-206-0452",
            "fax_number": "816-671-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 S 4TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645041708",
            "telephone_number": "701-206-0452",
            "fax_number": "816-671-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETTEL",
        "first_name": "JENNA",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2013023008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Zachariah, DNP, FNP-C
• Jacob Zahn
• Maheen Zaidi, MD
• Aref Zaman, M.D.
• Shawn Zeltwanger, MD, PHD
• Sherry Xiaoyan Zhou, MD
• Kyrsten Veronica Ziemann
• Zimmerman Chiropractic Inc. (Zimmerman Chiropractic)
• Randy Thomas Zimmerman, DC
• Robert John Zirfas, LPC

• Athletic Trainer in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.