Jordan Marie Carvell, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT007634 Issued in PA

Practice address

353 Jeff Ave
Ephrata, PA 17522-2452

Phone

(717) 598-3281

NPI assigned

Jan 20, 2022

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

Other identifiers 1

Electronic endpoints 1

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": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1457003543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 JEFF AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222452",
            "telephone_number": "717-598-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 JEFF AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222452",
            "telephone_number": "717-598-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVELL",
        "first_name": "JORDAN",
        "middle_name": "MARIE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT007634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carjor@share.wilsonsd.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "353 Jeff Ave",
            "city": "Ephrata",
            "state": "PA",
            "country_code": "US",
            "postal_code": "175222452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Carini, MD
• Abigail Carr, MS, LAT, ATC
• Melissa Plowmaker Carrasco, OD
• Terence A Carson, BS
• Teresa Ann Caruthers, NP
• Donald J Cassano, CRNA
• Melissa A Cavallaro, DPM
• CCJP, Inc.
• Richard T Cetkowski Jr., CRNP
• Yentzu Chen, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.