Active NPI
Jansen Shea
- Athletic Trainer
- Binghamton, NY
National Provider Identifier
1457864852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 003490
- Practice address
- PO Box 6000
Binghamton, NY 13902-6000 - Phone
- (231) 342-4714
- NPI assigned
- Nov 8, 2017
- Sex
- Male
- 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 | 003490 | NY | Primary |
Addresses
Primary practice location
PO Box 6000
Binghamton, NY 13902-6000
Mailing address
Binghamton University
Events Center- PO Box 6000
Binghamton, NY 13902
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Unit for Treatment and Evaluation | Past | Accepting new patients | |
| The Research Foundation for Suny at Binghamton | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Binghamton, NY
- NPI 1053565184
-
- Early Intervention Provider Agency
- Vestal, NY
- NPI 1285070516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510099200000",
"number": "1457864852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BINGHAMTON UNIVERSITY",
"address_2": "EVENTS CENTER- PO BOX 6000",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "13902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 6000",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139026000",
"telephone_number": "231-342-4714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA",
"first_name": "JANSEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-08",
"last_updated": "2017-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "003490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.