Kristin Jaskolski, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2192-39 Issued in WI

Practice address

2817 Reilly St
Fort Bragg, NC 28310-3392

Phone

(910) 907-6000

NPI assigned

Dec 10, 2014

Last updated

Aug 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1720486566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8919 W MINCH DR APT 208",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545489785",
            "telephone_number": "262-358-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 REILLY ST",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283103392",
            "telephone_number": "910-907-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1736 Dakota Dr N Apt 305",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581023392",
            "country_code": "US",
            "telephone_number": "262-358-1263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JASKOLSKI",
        "first_name": "KRISTIN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-10",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "2192-39",
            "primary": true
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "MN",
            "license": "2603",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Thomas Janssen, MPAS
• Francis Matthew Janton, MD
• Lydia Marie Jarnow
• Thomas Alan Jarrett, L.C.S.W.
• Christopher G Jarvis, MD
• Daniel Millard Jayne, PT
• Karen Devane Jeffers, PT, DPT
• Craig Milton Jenkins, PHD
• Keith W Jennings, PH.D.
• Laterra Jennings

• Athletic Trainer in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.