Jennifer Ach, A.T.C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1552 Issued in AZ

Practice address

11105 N 115TH St Apt 2061
Scottsdale, AZ 85259-2633

Phone

(360) 731-5347

NPI assigned

Dec 1, 2015

Last updated

Dec 13, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1700251873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11105 N 115TH ST APT 2061",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852592633",
            "telephone_number": "360-731-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11105 N 115TH ST APT 2061",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852592633",
            "telephone_number": "360-731-5347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACH",
        "first_name": "JENNIFER",
        "credential": "A.T.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "2656",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "1552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.