Jered Phipps, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A160488335 Issued in WA

Practice address

2508 Broad St
Bellingham, WA 98225-8315

Phone

(515) 979-9144

NPI assigned

Dec 19, 2022

Last updated

Dec 19, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1518679737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 BROAD ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982258315",
            "telephone_number": "515-979-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 BROAD ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982258315",
            "telephone_number": "515-979-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "JERED",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "A160488335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrisa Lee Phillips- Jimmy, CPC
• Michael Jonathan Phillips-Jimmy, CPC
• Andrea Marie Phillips, CNM
• Jessica Phillips
• Martha Phillips, RN
• Matthew Elias Phipps
• Physiatry Associates,PS,Inc
• Martin W. Piatt, M.D.
• Amy Appel Picco, D.O.
• Christopher Nelson Pierce, C.C.P.

• Athletic Trainer in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.