Jalcyn Tourtelotte, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT251 Issued in ME

Practice address

975 W Main St
Dover Foxcroft, ME 04426-1067

Phone

(207) 564-8351

NPI assigned

Mar 18, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Trustees of Foxcroft Academy

  • Registered Nurse
  • Dover Foxcroft, ME
  • NPI 1427358647
  NPD (past)

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1669898490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 W MAIN ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261067",
            "telephone_number": "207-564-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 W MAIN ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261067",
            "telephone_number": "207-564-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOURTELOTTE",
        "first_name": "JALCYN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ME",
            "license": "AT251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATA",
            "identifier": "996936",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Mariah Tardy, OTR/L
• Cheryl Thibeault, RN
• Stacy Rae Thibodeau, DNP, MSN, PMHN-BC
• Emily Thompson, RN
• Elizabeth Tinkham, RN
• Town of Dover-Foxcroft
• Trustees of Foxcroft Academy
• Andrew Gordon Turner, PT, DPT
• Two Rivers Child Development Services
• Lesley Ann Tyler, L.C.S.W.

• Athletic Trainer in Dover Foxcroft, ME
• Providers in Dover Foxcroft, ME by specialty
• Athletic Trainer in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.