Individual provider Active NPI

Jennifer Dawnflower Mathe, ATC

  • Athletic Trainer
  • Sacramento, CA
National Provider Identifier
1770012296
Registry record updated Jun 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
090002033 Issued in CA
Practice address
2533 R St
Sacramento, CA 95816-6887
Phone
(530) 400-5481
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 090002033 CA Primary

Addresses

Primary practice location

2533 R St
Sacramento, CA 95816-6887

Mailing address

2897 Baronet Way
Sacramento, CA 95833-2910
Phone (530) 400-5481

Other names 1

  • Jennifer Dawnflower Mathias-Salyers Former name

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

LicenseStateTypeSpecialty
090002033CAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1770012296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2897 BARONET WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958332910",
            "telephone_number": "530-400-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 R ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958166887",
            "telephone_number": "530-400-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHE",
        "first_name": "JENNIFER",
        "middle_name": "DAWNFLOWER",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "090002033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MATHIAS-SALYERS",
            "middle_name": "DAWNFLOWER",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; 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.