Individual provider Active NPI

Jennifer Sebert Howard, LAT, ATC

  • Athletic Trainer
  • Boone, NC
National Provider Identifier
1619035680
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1285 Issued in NC
Practice address
1179 State Farm Rd
Boone, NC 28607-4943
Phone
(828) 262-7985
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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 1285 NC Primary

Addresses

Primary practice location

1179 State Farm Rd
Boone, NC 28607-4943

Mailing address

PO Box 32071
Boone, NC 28608-6111
Phone (828) 262-7985

Other names 1

  • Jennifer Elaine Sebert 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
1285NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian State University CurrentSince Jun 9, 2024 Accepting new patients
Appalachian State University PastSince Jan 10, 2021 Accepting new patients

Locations

1179 State Farm Rd
Boone, NC 28607
Phone (828) 262-7677

Organizations & group practices 2

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1619035680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32071",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286086111",
            "telephone_number": "828-262-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1179 STATE FARM RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074943",
            "telephone_number": "828-262-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "JENNIFER",
        "middle_name": "SEBERT",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "1285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SEBERT",
            "middle_name": "ELAINE",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.