Jenna Lynne Houston, MED, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT001219 Issued in GA

Practice address

Mount de Sales Academy
851 Orange St
Macon, GA 31201

Phone

(478) 751-3240

NPI assigned

Jul 18, 2006

Last updated

Dec 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1649298506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 RIVER RIDGE LN",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305187466",
            "telephone_number": "478-335-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MOUNT DE SALES ACADEMY",
            "address_2": "851 ORANGE ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31201",
            "telephone_number": "478-751-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "JENNA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "MED, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT001219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Rose House, MD
• Houston County Health Department (Houston County Health Department DBA Babies Can't Wait)
• Houston County Health Department (The Hope Center)
• Houston County Health Department (Compass)
• Houston Transportation Solutions
• Howard D Booth Jr DDS
• Adrian Linese Howard
• Brittnae Howard
• Carolyn Howard, ATC, LAT
• Kahda Monique Howard

• Athletic Trainer in Macon, GA
• Providers in Macon, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.