Active NPI
Jessica Schaber, LAT, ATC
- Athletic Trainer
- Greenwood, IN
National Provider Identifier
1750750212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36001990A
- Practice address
- 2717 S Morgantown Rd
Greenwood, IN 46143-8537 - Phone
- (317) 339-6908
- NPI assigned
- Sep 15, 2015
- 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 | 36001990A | IN | Primary |
Addresses
Primary practice location
2717 S Morgantown Rd
Greenwood, IN 46143-8537
Mailing address
2116 Charles Dr
Franklin, IN 46131-7967
Phone (317) 339-6908
Other practice location 1
1115 Broad Ripple Ave
Indianapolis, IN 46220-2036
Phone (317) 693-5700
Other names 1
- Ms. Jessica Couch
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 |
|---|---|---|---|
| 36001990A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1750750212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2116 CHARLES DR",
"city": "FRANKLIN",
"state": "IN",
"postal_code": "461317967",
"telephone_number": "317-339-6908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2717 S MORGANTOWN RD",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461438537",
"telephone_number": "317-339-6908"
}
],
"practiceLocations": [
{
"address_1": "1115 Broad Ripple Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462202036",
"country_code": "US",
"telephone_number": "317-693-5700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHABER",
"first_name": "JESSICA",
"name_prefix": "Mrs.",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-15",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36001990A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "COUCH",
"prefix": "MS.",
"credential": "ATC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.