Active NPI
Jenna Lizana
- Athletic Trainer
- Covington, LA
National Provider Identifier
1558054270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 311102
- Practice address
- 70033 4TH St
Covington, LA 70433-8402 - Phone
- (985) 285-8057
- NPI assigned
- May 30, 2023
- Last updated
- May 30, 2023
- Sex
- Female
- 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 | 311102 | LA | Primary |
Addresses
Primary practice location
70033 4TH St
Covington, LA 70433-8402
Mailing address
70033 4TH St
Covington, LA 70433-8402
Phone (985) 285-8057
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
| License | State | Type | Specialty |
|---|---|---|---|
| 311102 | LA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1558054270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70033 4TH ST",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704338402",
"telephone_number": "985-285-8057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70033 4TH ST",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704338402",
"telephone_number": "985-285-8057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIZANA",
"first_name": "JENNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-30",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": "311102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.