Active NPI
Jason R Hatfield, MS, ATC
- Athletic Trainer
- Tonawanda, NY
National Provider Identifier
1760648711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 6357399
- Practice address
- 2540 Sheridan Dr
Tonawanda, NY 14150-9410 - Phone
- (716) 862-0567
- NPI assigned
- Jul 30, 2008
- Sex
- Male
- 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 | 6357399 | NY | Primary |
Addresses
Primary practice location
2540 Sheridan Dr
Tonawanda, NY 14150-9410
Mailing address
80 Ivanhoe Rd
Buffalo, NY 14215-3610
Phone (716) 896-7704
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6357399 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217376000000",
"number": "1760648711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 IVANHOE RD",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142153610",
"telephone_number": "716-896-7704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 SHERIDAN DR",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "141509410",
"telephone_number": "716-862-0567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATFIELD",
"first_name": "JASON",
"middle_name": "R",
"credential": "MS, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-30",
"last_updated": "2008-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "6357399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.