Active NPI
Jena R Suffel, DHSC, AT, CSCS
- Athletic Trainer
- Tiffin, OH
National Provider Identifier
1477829208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT. 003679
- Practice address
- 310 E Market St
Tiffin, OH 44883-2434 - Phone
- (419) 448-2008
- Fax
- (419) 448-2007
- NPI assigned
- Mar 27, 2012
- Sex
- Female
- 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 | AT. 003679 | OH | Primary |
Addresses
Primary practice location
310 E Market St
Tiffin, OH 44883-2434
Mailing address
310 E Market St
Tiffin, OH 44883-2434
Phone (419) 448-2008
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
| License | State | Type | Specialty |
|---|---|---|---|
| AT. 003679 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1477829208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 E MARKET ST",
"city": "TIFFIN",
"state": "OH",
"postal_code": "448832434",
"telephone_number": "419-448-2008",
"fax_number": "419-448-2007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 E MARKET ST",
"city": "TIFFIN",
"state": "OH",
"postal_code": "448832434",
"telephone_number": "419-448-2008",
"fax_number": "419-448-2007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUFFEL",
"first_name": "JENA",
"middle_name": "R",
"credential": "DHSC, AT, CSCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-27",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT. 003679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tiffin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.