Individual provider Active NPI

Jason Ray Kizzee, ATC

  • Athletic Trainer
  • Newport, RI
National Provider Identifier
1477513281
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT00169 Issued in RI
Practice address
440 Meyerkord Ave
Newport, RI 02841-1650
Phone
(401) 935-4023
Fax
(401) 841-2127
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT00169 RI Primary

Addresses

Primary practice location

440 Meyerkord Ave
Newport, RI 02841-1650

Mailing address

440 Meyerkord Ave
Newport, RI 02841-1650
Phone (401) 841-1248

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

State licenses

LicenseStateTypeSpecialty
AT00169RIMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1477513281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MEYERKORD AVE",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028411650",
            "telephone_number": "401-841-1248",
            "fax_number": "401-841-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 MEYERKORD AVE",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028411650",
            "telephone_number": "401-935-4023",
            "fax_number": "401-841-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZZEE",
        "first_name": "JASON",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "RI",
            "license": "AT00169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.