Jeremy Joseph Herniman, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

001967-1 Issued in NY

Practice address

3170 West St
Canandaigua, NY 14424-1712

Phone

(585) 396-6700

NPI assigned

Nov 1, 2011

Last updated

Nov 1, 2011By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1649556820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 OATFIELD DR",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "144259368",
            "telephone_number": "269-806-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 WEST ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241712",
            "telephone_number": "585-396-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNIMAN",
        "first_name": "JEREMY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "001967-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Henry, MD
• Nicole Henry, PHARM D
• Susan Herendeen, LPN
• Kirk Heriot, M.D.
• Patti M Herman, PTA
• Cassie Hey Etheleen Hey, MSM,OTR/L
• Polly A Higley, RN
• Hilda Kay Loree-Pryor, LCSW-R, Casac (Kay Loree, LCSW-R, CASAC)
• Max Richard Hillring, RPH
• Nitra Hillyer, OCCUPATIONAL THERAPI

• Athletic Trainer in Canandaigua, NY
• Providers in Canandaigua, 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 1, 2011; 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.