Caroline Jarvis, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601001933 Issued in MI

Practice address

3950 Hollywood Rd
Saint Joseph, MI 49085-9159

Phone

(269) 556-7150

NPI assigned

Feb 9, 2017

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

State licenses

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1659819670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29724 DEEP WOODS DR",
            "city": "LAWTON",
            "state": "MI",
            "postal_code": "490658506",
            "telephone_number": "269-408-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 HOLLYWOOD RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859159",
            "telephone_number": "269-556-7150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 Hagar Shore Rd",
            "address_purpose": "LOCATION",
            "city": "Coloma",
            "state": "MI",
            "postal_code": "490389361",
            "country_code": "US",
            "telephone_number": "269-408-6216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "CAROLINE",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Nelson Jaeger
• Becky Jager, OTR
• Stanley A James, M.D.
• Tamara K Jardine, PT
• Mary Katharine Jarpe, LMSW
• Philip Jasheway, PT, AT
• Jason R Beckrow DO PC
• Leann Jewell, PT
• John M Kim DMD PC
• John M. Stafford, MD, and Associates, P.C.

• Athletic Trainer in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.