Active NPI
Jill Marie Wosmek, MA, ATC
- Athletic Trainer
- Anaheim, CA
National Provider Identifier
1609944420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 733
- Practice address
- 1500 S Anaheim Blvd
Anaheim, CA 92805-6242 - Phone
- (320) 237-5293
- NPI assigned
- Dec 1, 2006
- Last updated
- Nov 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 733 | SC | Primary |
Addresses
Primary practice location
1500 S Anaheim Blvd
Anaheim, CA 92805-6242
Mailing address
1500 S Anaheim Blvd
Anaheim, CA 92805-6242
Phone (320) 237-5293
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 733 | SC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257292800000",
"number": "1609944420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S ANAHEIM BLVD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928056242",
"telephone_number": "320-237-5293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S ANAHEIM BLVD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928056242",
"telephone_number": "320-237-5293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOSMEK",
"first_name": "JILL",
"middle_name": "MARIE",
"credential": "MA, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2009-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "SC",
"license": "733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.