Zathan Bark, A.T.C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL4094 Issued in FL

Practice address

3371 Knight St
Jacksonville, FL 32205-7858

Phone

(785) 259-0937

NPI assigned

Apr 8, 2016

Sex

Male

Sole proprietor

No

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": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1790149417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3371 KNIGHT ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322057858",
            "telephone_number": "785-259-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3371 KNIGHT ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322057858",
            "telephone_number": "785-259-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARK",
        "first_name": "ZATHAN",
        "credential": "A.T.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL4094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leana Barfield
• Josefino P Bargas, MD
• Matthew S Bargas, MD
• Naomi Ruth Bariuan, DDS
• Suzanne Barje, PT
• Dorothy Jean Barker-Walker I
• Grant Patrick Barker
• Haley Oberhofer Barker, MD
• Mae R. Barker, PHD, BCBA-D
• Matthew David Barker, MD

• Athletic Trainer in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.