Active NPI
Jana L Staley, LAT, ATC
- Athletic Trainer
- Asheboro, NC
National Provider Identifier
1760719058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1393
- Practice address
- 138 Dublin Square Rd Ste a
Asheboro, NC 27203-8601 - Phone
- (336) 626-3700
- Fax
- (336) 626-4100
- NPI assigned
- Nov 9, 2009
- Last updated
- Mar 9, 2012
- 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 | 1393 | NC | Primary |
Addresses
Primary practice location
138 Dublin Square Rd Ste a
Asheboro, NC 27203-8601
Mailing address
138 Dublin Square Rd Ste a
Asheboro, NC 27203-8601
Phone (336) 626-3700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1393 | Other | NC | NORTH CAROLINA BOARD OF ATHLETIC TRAINER |
| 080702217 | Other | NC | BOARD OF CERTIFICATION |
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 |
|---|---|---|---|
| 1393 | NC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331251200000",
"number": "1760719058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 DUBLIN SQUARE RD STE A",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272038601",
"telephone_number": "336-626-3700",
"fax_number": "336-626-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 DUBLIN SQUARE RD STE A",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272038601",
"telephone_number": "336-626-3700",
"fax_number": "336-626-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALEY",
"first_name": "JANA",
"middle_name": "L",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-09",
"last_updated": "2012-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "1393",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA BOARD OF ATHLETIC TRAINER",
"identifier": "1393",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CERTIFICATION",
"identifier": "080702217",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Asheboro, NC
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- Christine Stalvey
- Courtney S Stanbery, HIS
- Alexander F Standiford, DPM
- Jerilynn Standley
- Staywell Senior Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.