Active NPI
Jennifer Holt
- Athletic Trainer
- Dublin, OH
National Provider Identifier
1720556228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT005790
- Practice address
- 6955 Hospital Dr
Dublin, OH 43016-8580 - Phone
- (614) 566-3489
- NPI assigned
- Nov 2, 2018
- Last updated
- Jun 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT005790 | OH | Primary |
Addresses
Primary practice location
6955 Hospital Dr
Dublin, OH 43016-8580
Mailing address
4808 Twig CT
Gahanna, OH 43230-4148
Other practice location 1
5100 Buckeystown Pike
Frederick, MD 21704-8336
Phone (301) 662-6790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AT005790 | Other | OH | ATHLETIC TRAINER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT005790 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559433600000",
"number": "1720556228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4808 TWIG CT",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432304148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6955 HOSPITAL DR",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430168580",
"telephone_number": "614-566-3489"
}
],
"practiceLocations": [
{
"address_1": "5100 Buckeystown Pike",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217048336",
"country_code": "US",
"telephone_number": "301-662-6790",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLT",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-02",
"last_updated": "2019-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT005790",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETIC TRAINER",
"identifier": "AT005790",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.