Jessica Marie Zeitz, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT005601 Issued in OH

Practice address

1839 Ashton LN Apt 177
Kent, OH 44240-8132

Phone

(491) 271-3641

NPI assigned

Nov 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1510358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1689187718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 CAROL AVENUE",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "44811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 ASHTON LN APT 177",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442408132",
            "telephone_number": "491-271-3641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 Carol Ave",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "OH",
            "postal_code": "448111119",
            "country_code": "US",
            "telephone_number": "419-483-0711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEITZ",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-11",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "OH",
            "license": "AT005601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Young
• Robert C. Young, LICDC
• Samantha Zaczyk, O.D.
• Katherine Hastings Zajac, O.D.
• Shelly Zarbailov, CNP
• Lori Zerhouane, SLP
• Joseph J Ziarko, LICDC
• Barbara Ziegler, LPCC-SUPV, NCC, CT
• Michael Ziemianski
• Izabel Zipron

• Athletic Trainer in Kent, OH
• Providers in Kent, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.