Bryan James Jaquette, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2383 Issued in MN

Practice address

Alina Health
8100 West 78TH Street, Suite 225
Edina, MN 55439

Phone

(952) 946-9777

NPI assigned

Sep 4, 2020

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

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1538773601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ALINA HEALTH",
            "address_2": "8100 WEST 78TH STREET, SUITE 225",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55439",
            "telephone_number": "952-946-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALINA HEALTH",
            "address_2": "8100 WEST 78TH STREET, SUITE 225",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55439",
            "telephone_number": "952-946-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAQUETTE",
        "first_name": "BRYAN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "2383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jedidiah Bolton James, LPCC
• Jan Search MSW Licsw
• Janet Anderson Counseling
• Amy Margaret Janisch, PNP
• Jonathon David Jaqua, D.O.
• Shirley J Jarcho, APRN, CNP
• Jessica Jarnot, M.D.
• Maryann Wilhelmina Jarosz
• Kathryn Wieckowski Jarrett, M.D.
• Jacqueline Rose Jasken, LAMFT

• Athletic Trainer in Edina, MN
• Providers in Edina, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.