Todd Jensen, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A160844217 Issued in WA

Practice address

Building 03669 Railroad Ave
Joint Base Lewis-McChord, WA 98430

Phone

(719) 351-5925

NPI assigned

Mar 5, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1760984892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 ANNA ST NE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985164106",
            "telephone_number": "719-351-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING 03669 RAILROAD AVE",
            "city": "JOINT BASE LEWIS-MCCHORD",
            "state": "WA",
            "postal_code": "98430",
            "telephone_number": "719-351-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "TODD",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-05",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "A160844217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Min Ji Hwang, D.O.
• Kenneth E Hyde, PA-C
• Vladislava Ivanova
• Aunya Renee Jackson
• Sarah Rebecca Jameson, LCSW
• Madison Rayne Jimenez
• Travon Johnson, PSY.D.
• Brian Curtis Johnston, PT
• Gillian Nicole Jones, D.O.
• Marc David Jones, DPM

• Athletic Trainer in Joint Base Lewis-McChord, WA
• Providers in Joint Base Lewis-McChord, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.