Active NPI
Jacob Arnold
- Athletic Trainer
- Anthem, AZ
National Provider Identifier
1497211866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 41713 N Ericson CT
Anthem, AZ 85086-6041 - Phone
- (623) 210-2024
- NPI assigned
- Feb 11, 2019
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
41713 N Ericson CT
Anthem, AZ 85086-6041
Mailing address
41713 N Ericson CT
Anthem, AZ 85086-6041
Phone (623) 210-2024
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1497211866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41713 N ERICSON CT",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850866041",
"telephone_number": "623-210-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41713 N ERICSON CT",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850866041",
"telephone_number": "623-210-2024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "JACOB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-11",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anthem, AZ
- Arizona Dental Professionals, P.C. (Dental Care of Anthem Crossroads)
- Arizona Heights Dentistry@Anthem PC
- Arizona Medical & Injury, PLLC
- Arizona Surgical Pain Consultants PLLC
- Eva Maria Armbrust, RN
- Ascension Clinic PLLC (Back to Health of Anthem)
- Ashwaq Dental One, LLC (Smiles of Anthem Family Dentistry)
- William Anthony Ashworth Jr., LMSW
- Martin M Assumani
- Brian Conant Austin, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.