Jessica Austin, LAT,ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

518 S Fountain St
Cape Girardeau, MO 63703-7410

Phone

(630) 303-1921

NPI assigned

Aug 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1720635014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 ORCHARD DR",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637551176",
            "telephone_number": "630-303-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 S FOUNTAIN ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637037410",
            "telephone_number": "630-303-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "JESSICA",
        "credential": "LAT,ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Aufdenberg, RPH
• Rachel Hearnes August
• Amy R Augustine
• Aureus Health Services, LLC
• April Austin
• Axpm - Merkley, LLC
• Allison Ayers
• David Jeffery Babcock, D.O.
• Taylor Babich, FNP-C
• Betty Jennell Bach, C.R.N.A.

• All providers in Cape Girardeau, MO
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.