Active NPI
Jasmine Williams, LAT, ATC
- Athletic Trainer
- Fitchburg, MA
National Provider Identifier
1568299535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1624
- Practice address
- 160 Pearl St
Fitchburg, MA 01420-2631 - Phone
- (978) 665-3000
- NPI assigned
- Sep 16, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1624 | NH | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
160 Pearl St
Fitchburg, MA 01420-2631
Mailing address
175 Poor Farm Rd
New Ipswich, NH 03071-3926
Other practice location 1
1844 Commonwealth Ave
Auburndale, MA 02466-2709
Phone (617) 243-2000
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1568299535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 POOR FARM RD",
"city": "NEW IPSWICH",
"state": "NH",
"postal_code": "030713926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 PEARL ST",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014202631",
"telephone_number": "978-665-3000"
}
],
"practiceLocations": [
{
"address_1": "1844 Commonwealth Ave",
"address_purpose": "LOCATION",
"city": "Auburndale",
"state": "MA",
"postal_code": "024662709",
"country_code": "US",
"telephone_number": "617-243-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JASMINE",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-16",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NH",
"license": "1624",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fitchburg, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.