Jennifer M Chesnut, ATC, CSCS, SNS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

079902466 Issued in WA

Practice address

20531 English Rd
Mount Vernon, WA 98274-7571

Phone

(360) 630-5569

NPI assigned

Jul 14, 2006

Last updated

Jan 1, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jennifer M Nielson Former name

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420070400000",
    "number": "1558387712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20531 ENGLISH RD",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982747571",
            "telephone_number": "360-630-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20531 ENGLISH RD",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982747571",
            "telephone_number": "360-630-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESNUT",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "ATC, CSCS, SNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "079902466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "NIELSON",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "ATC, CSCS, SNS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin E Charles, MD
• Kiran Chaturvedi, M.D.
• Emily F Chau, DPM
• Athena Chen, MD
• Cathy Chen, PA
• Weslee Chew
• Tammy Chhun
• Judith L. Chilcote, MSARNP
• Chinn GYN LLC
• Melissa S Chinn, DO

• Athletic Trainer in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2015; 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.