Active NPI
Casey Jacklyn Lester, ATC
- Athletic Trainer
- San Jose, CA
National Provider Identifier
1649797648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000029287
- Practice address
- 960 W Hedding St
San Jose, CA 95126-1215 - Phone
- (408) 537-9229
- NPI assigned
- Aug 29, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2000029287 | CA | Primary |
Addresses
Primary practice location
960 W Hedding St
San Jose, CA 95126-1215
Mailing address
9065 Kern Ave
Gilroy, CA 95020-7543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000029287 | Other | CA | NATA BOC ATC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000029287 | CA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1649797648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9065 KERN AVE",
"city": "GILROY",
"state": "CA",
"postal_code": "950207543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 W HEDDING ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951261215",
"telephone_number": "408-537-9229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESTER",
"first_name": "CASEY",
"middle_name": "JACKLYN",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-29",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "2000029287",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATA BOC ATC",
"identifier": "2000029287",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.