Jenna Katherine Barr, ATC, LAT, MSAT
Individual provider Active NPI Athletic Trainer · Fort Drum, NY
NPI 1619629482 · NPPES record last updated Apr 21, 2026
Key facts
- NPI
- 1619629482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- LAT-5931 (NC)
- Practice address
- 20460 Anaconda Road
Fort Drum, NY 13603 - Phone
- (540) 422-3112
- NPI assigned
- Jan 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAT-5931 | NC | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | LAT-5931 | NC | Yes |
Addresses
Primary practice location
20460 Anaconda Road
Fort Drum, NY 13603
Mailing address
160 Shirley CT
Winchester, VA 22603-4509
Phone (540) 422-3112
Other providers in Fort Drum, NY
- Anne Ashley
- Matthew Marcos Bacca
- Andrea Baeder
- Leonard Joseph Bailey Jr.
- Tara A M Baird
- Alec Barrowcliff
- Alfred Michael Babia Barrozo
- Michael Baxter
- Britton Sterling Beckstead
- Ralf Beilhardt
All providers in Fort Drum, NY · Athletic Trainer in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.