Jessica Obiedzinski, M.S., ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

002778 Issued in NY

Practice address

2817 Reilly St
Fort Bragg, NC 28310-2119

Phone

(908) 930-9923

NPI assigned

Mar 25, 2016

Sex

Female

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

Credentials

Master of Science

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1790147023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PLEASANT HILL RD",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302119",
            "telephone_number": "908-930-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 REILLY ST",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283102119",
            "telephone_number": "908-930-9923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Pleasant Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "NJ",
            "postal_code": "079302119",
            "country_code": "US",
            "telephone_number": "908-930-9923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBIEDZINSKI",
        "first_name": "JESSICA",
        "credential": "M.S., ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "002778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Paige O'Rourke, MD
• Joseph O'Shaughnessy, PHARMD
• Victoria Hoang-Mai O'Shea, RPH
• Elizabeth R Oates, DDS, MS
• Heidi Nichole Oberst, IDMT, PARAMEDIC
• Denica Obis, OTD, OTR/L
• Caitlyn Ocampo
• Lisa Nichole Odom, PSY.D
• Uche Fidelia Okafor
• Brenda N Okonkwo, DMD

• Athletic Trainer in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.