Individual provider Active NPI

Brandy Nicole Ramaj Jewett, ATC, LAT

  • Athletic Trainer
  • Washington, IN
National Provider Identifier
1609269786
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
36002569A Issued in IN
Practice address
933 S State Road 57
Washington, IN 47501-4374
Phone
(812) 254-2203
Fax
(812) 254-2033
NPI assigned
Mar 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 36002569A IN Primary

Addresses

Primary practice location

933 S State Road 57
Washington, IN 47501-4374

Mailing address

701 Central Ave
Washington, IN 47501-8537
Phone (812) 584-5700

Other names 1

  • Brandy Nicole Ramaj Former name

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

LicenseStateTypeSpecialty
36002569AINMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Jewett Sports & Occupational Health CurrentSince Aug 8, 2021 Accepting new patients
Innovation Therapy, LLC. PastSince Jan 12, 2020 Accepting new patients
Movement Clinic, LLC PastSince Mar 16, 2019 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1609269786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 CENTRAL AVE",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475018537",
            "telephone_number": "812-584-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 S STATE ROAD 57",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475014374",
            "telephone_number": "812-254-2203",
            "fax_number": "812-254-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWETT",
        "first_name": "BRANDY",
        "middle_name": "NICOLE RAMAJ",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36002569A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "RAMAJ",
            "middle_name": "NICOLE",
            "credential": "ATC, LAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.