Jesse Ray Steenwyk, AT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

26750 Providence Pkwy
Novi, MI 48374-1211

Phone

(248) 349-7843

NPI assigned

Aug 29, 2017

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

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1699292698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26750 PROVIDENCE PKWY",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26750 PROVIDENCE PKWY",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741211",
            "telephone_number": "248-349-7843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18696 Fox",
            "address_purpose": "LOCATION",
            "city": "Redford",
            "state": "MI",
            "postal_code": "482401963",
            "country_code": "US",
            "telephone_number": "906-440-8477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEENWYK",
        "first_name": "JESSE",
        "middle_name": "RAY",
        "credential": "AT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savanna Steed
• Christopher Steele
• Jonathan Steele
• Nicole E Steele
• Leneisha Nichelle Steen
• Kelsey Steere
• Joseph Stefanko
• Stephanie Stegall
• Alyssa Stein
• Maryion Stein

• Athletic Trainer in Novi, MI
• Providers in Novi, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.