Jason Charles Kolean, MS, AT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601001521 Issued in MI

Practice address

6191 Kraft Ave SE
Grand Rapids, MI 49512-9396

Phone

(616) 871-6186

NPI assigned

Jul 15, 2015

Last updated

Apr 4, 2018By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1578947966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6191 KRAFT AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495129396",
            "telephone_number": "616-481-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6191 KRAFT AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495129396",
            "telephone_number": "616-871-6186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6201 68th St SE",
            "address_purpose": "LOCATION",
            "city": "Caledonia",
            "state": "MI",
            "postal_code": "49316",
            "country_code": "US",
            "telephone_number": "616-871-6186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLEAN",
        "first_name": "JASON",
        "middle_name": "CHARLES",
        "credential": "MS, AT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-15",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36001900A",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anuoluwapo Omobolanle Kolawole, DO
• Annette K Kolb, LMSW
• Jessica Kolbe
• Rachel Koldenhoven, OTR/L
• Aleisha Joy Kole
• Ashley Elizabeth Kolenbrander, MSW, BS
• Stacey Kolenda, O.T.R.
• Christina T Kolias, OTR
• Nik Kolicaj, MD
• Corey John Koll, PA-C

• Athletic Trainer in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.