Individual provider Active NPI

Janeria Rachelle Calhoun, ATC

  • Athletic Trainer
  • Phoenix, AZ
National Provider Identifier
1487267993
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
ATR-009042 Issued in AZ
Practice address
2820 W Rose Garden LN
Phoenix, AZ 85027-3134
Phone
(602) 653-5425
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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 ATR-009042 AZ Primary

Addresses

Primary practice location

2820 W Rose Garden LN
Phoenix, AZ 85027-3134

Mailing address

13665 N 85TH LN
Peoria, AZ 85381-4222
Phone (602) 653-5425

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address janeria.calhoun@dvusd.org Direct

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
ATR-009042AZMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1487267993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13665 N 85TH LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814222",
            "telephone_number": "602-653-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 W ROSE GARDEN LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273134",
            "telephone_number": "602-653-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "JANERIA",
        "middle_name": "RACHELLE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "ATR-009042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "janeria.calhoun@dvusd.org",
            "affiliation": "N",
            "endpointDescription": "Work Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2820 W Rose Garden Ln",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850273134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.

Verify at the official NPI Registry.