Active NPI
Jill Christensen, ATC
- Athletic Trainer
- Fresh Meadows, NY
National Provider Identifier
1740319250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 000721-1
- Practice address
- 6126 164TH St Apt 3
Fresh Meadows, NY 11365-1844 - Phone
- (917) 804-6908
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 000721-1 | NY | Primary |
Addresses
Primary practice location
6126 164TH St Apt 3
Fresh Meadows, NY 11365-1844
Mailing address
6126 164TH St Apt 3
Fresh Meadows, NY 11365-1844
Phone (917) 804-6908
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 |
|---|---|---|---|
| 000721-1 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740319250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6126 164TH ST APT 3",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113651844",
"telephone_number": "917-804-6908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6126 164TH ST APT 3",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113651844",
"telephone_number": "917-804-6908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "JILL",
"name_prefix": "Ms.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "000721-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.