Jamie Dawn Dolieslager, DAT, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

119702510 Issued in NU

Practice address

260 Twilite Ter
Circle Pines, MN 55014-1625

Phone

(651) 491-3022

NPI assigned

Mar 9, 2006

Last updated

Oct 26, 2022By 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 2

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1457329237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 TWILITE TER",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550141625",
            "telephone_number": "651-491-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 TWILITE TER",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550141625",
            "telephone_number": "651-491-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLIESLAGER",
        "first_name": "JAMIE",
        "middle_name": "DAWN",
        "name_prefix": "Miss",
        "credential": "DAT, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MN",
            "license": "119702510",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": "119702510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul David Craven, DDS
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• Roger J. Day, M.D.
• Diagnostic Radiology Consultants
• Dockter - Lutz Chiropractic, LLC (Pine City Family Chiropractic)
• Andy Droel, DDS
• Natalie Droel, DDS
• Linnea Campbell Dumke, LICSW
• Hoda M Fahim
• Stephanie Fenno

• Athletic Trainer in Circle Pines, MN
• Providers in Circle Pines, MN by specialty
• Athletic Trainer in Minnesota

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