Catherine Mary Jacobsen, M.S., ATC.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

201 Viking Dr
Pleasant Hill, CA 94523-1809

Phone

(510) 331-7912

Fax

(925) 676-7897

NPI assigned

Aug 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Catherine Mary Cummings Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508971409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 PATRICK AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945443806",
            "telephone_number": "510-331-7912",
            "fax_number": "925-676-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 VIKING DR",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231809",
            "telephone_number": "510-331-7912",
            "fax_number": "925-676-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "CATHERINE",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "M.S., ATC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "CUMMINGS",
            "middle_name": "MARY",
            "prefix": "MRS.",
            "credential": "M.S., ATC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Claudia Marcela Husni, M.D, MPH
• Michael William Huthman, PT, DPT
• Sung Hwang
• Carol Y Im, M.D.
• Nancy Lee Iverson, MD
• Mahima Jain, P.A.
• Suprabha N Jain, MD
• Jam Physical Therapy PC
• Alec Nagoshi James
• Karen Elizabeth James

• Athletic Trainer in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.