Jonathan Edwards, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

101 Broad St
Plattsburgh, NY 12901-2637

Phone

(518) 578-4158

NPI assigned

Oct 30, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1639779309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 MONTY ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013702",
            "telephone_number": "518-578-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BROAD ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012637",
            "telephone_number": "518-578-4158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 Monty St",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129013702",
            "country_code": "US",
            "telephone_number": "518-578-4158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JONATHAN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie O'Connell Eamer, FNP
• Robert L. Eberle, M.D.
• Kelly Louise Ecker, LCSW-R
• Hope Edie-Provost, LPN
• Christina Edwards
• El Azoury Medical PLLC
• Paul Gergi El Azoury, M.D.
• Manal El Daouk, MD
• David F Ellsworth, DO
• Robert Elsman, PHARM D.

• Athletic Trainer in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.