Jennifer N Peppler

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

785690 Issued in IN

Practice address

3434 Kirkfield Dr
Fort Wayne, IN 46815-5972

Phone

(260) 610-5714

NPI assigned

Feb 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1699308700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 KIRKFIELD DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468155972",
            "telephone_number": "260-610-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 KIRKFIELD DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468155972",
            "telephone_number": "260-610-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPLER",
        "first_name": "JENNIFER",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "785690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JNPeppler2023@manchester.edu",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email Address",
            "address_1": "3434 Kirkfield Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468155972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shana Marie Pepple, MA, BCBA
• Stephan Edwin Pepple, M.D.
• Stephen Alan Pepple
• Walter David Pepple, MD
• Jamie Lynn Peppler, FNP-C
• Mary K Pequignot, MSED, LMHC
• Melanie L Pequignot, PA
• Regina Pequignot
• Thomas Franklin Pequignot, DDS CCN
• Chad Ryan Percifield, DO

• Athletic Trainer in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Athletic Trainer in Indiana

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