Active NPI
Jessica Pierce, MS, LAT, ATC, CES
- Athletic Trainer
- Chattanooga, TN
National Provider Identifier
1467905620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1604
- Practice address
- 615 McCallie Ave Dept 3503
Chattanooga, TN 37403-2504 - Phone
- (423) 425-2803
- Fax
- (423) 425-5436
- NPI assigned
- Jul 25, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 1604 | TN | Primary |
Addresses
Primary practice location
615 McCallie Ave Dept 3503
Chattanooga, TN 37403-2504
Mailing address
3535 Mountain Creek Rd
Apt 201
Chattanooga, TN 37415-6731
Phone (256) 777-5194
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1604 | TN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469404800000",
"number": "1467905620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 MOUNTAIN CREEK RD",
"address_2": "APT 201",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374156731",
"telephone_number": "256-777-5194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 MCCALLIE AVE DEPT 3503",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374032504",
"telephone_number": "423-425-2803",
"fax_number": "423-425-5436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "JESSICA",
"credential": "MS, LAT, ATC, CES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-25",
"last_updated": "2016-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "1604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.