Active NPI
John Juniet, A.T.C., L.A.T.
- Athletic Trainer
- Meriden, CT
National Provider Identifier
1710411236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1215
- Practice address
- 228 Elm St
Meriden, CT 06450-5808 - Phone
- (203) 499-8301
- NPI assigned
- Apr 12, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 1215 | CT | |
| Athletic Trainer | 2255A2300X | 1215 | CT | Primary |
Addresses
Primary practice location
228 Elm St
Meriden, CT 06450-5808
Mailing address
228 Elm Street
Meriden, CT 06450
Phone (203) 499-8301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1710411236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 ELM STREET",
"city": "MERIDEN",
"state": "CT",
"postal_code": "06450",
"telephone_number": "203-499-8301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 ELM ST",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064505808",
"telephone_number": "203-499-8301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNIET",
"first_name": "JOHN",
"credential": "A.T.C., L.A.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-12",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "CT",
"license": "1215",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CT",
"license": "1215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meriden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.