Andrea Faye Jankowski-Wilkinson, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

001756 Issued in NY

Practice address

1 Saxon Dr
Alfred, NY 14802-1205

Phone

(330) 204-7581

Fax

(607) 871-2712

NPI assigned

Jan 31, 2011

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

Other names 1

• Andrea Faye Jankowski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alfred University

  • Family Medicine Physician
  • Alfred, NY
  • NPI 1033511787
  NPD (past)

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1740586254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SAXON DR",
            "city": "ALFRED",
            "state": "NY",
            "postal_code": "148021205",
            "telephone_number": "330-204-7581",
            "fax_number": "607-871-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAXON DR",
            "city": "ALFRED",
            "state": "NY",
            "postal_code": "148021205",
            "telephone_number": "330-204-7581",
            "fax_number": "607-871-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKOWSKI-WILKINSON",
        "first_name": "ANDREA",
        "middle_name": "FAYE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "001756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "JANKOWSKI",
            "middle_name": "FAYE",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anthony Joseph Graziano, R.PH.
• Sherry S Herdman, M.S, FNP, CDE
• Del Rey Honeycutt
• Timothy G Howell, ED.D., ATC, CSCS
• Jessica Sue Hurlbut, ATC
• Rosalie C Keith, DO
• Daniel Patrick Lee, D.C.
• Gary Kelley Mann, DNP, FNP-BC
• Frederick Graham Marks, M.AC.
• Mikala Marie McCartney

• All providers in Alfred, NY
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.