Individual provider Active NPI

Jennifer Taginski, ATC,EMT,LAT

  • Athletic Trainer
  • Wrightsville Beach, NC
National Provider Identifier
1629309323
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0521 Issued in NC
Practice address
706B Waynick Blvd
Wrightsville Beach, NC 28480-2131
Phone
(910) 262-3804
NPI assigned
Jan 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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 0521 NC Primary

Addresses

Primary practice location

706B Waynick Blvd
Wrightsville Beach, NC 28480-2131

Mailing address

706B Waynick Blvd
Wrightsville Beach, NC 28480-2131

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
Emergency Medical Technician

State licenses

LicenseStateTypeSpecialty
0521NCMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1629309323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706B WAYNICK BLVD",
            "city": "WRIGHTSVILLE BEACH",
            "state": "NC",
            "postal_code": "284802131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706B WAYNICK BLVD",
            "city": "WRIGHTSVILLE BEACH",
            "state": "NC",
            "postal_code": "284802131",
            "telephone_number": "910-262-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGINSKI",
        "first_name": "JENNIFER",
        "credential": "ATC,EMT,LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "0521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wrightsville Beach, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.