Jennifer Farroll, ED.D., LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0000001419 Issued in TN

Practice address

1050 Union University Dr
Box 1864
Jackson, TN 38305-3656

Phone

(731) 661-5024

NPI assigned

Dec 6, 2016

Last updated

Dec 6, 2016By the provider in NPPES

Sex

Female

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": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1790229060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 ENFIELD CV",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "383556932",
            "telephone_number": "731-661-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 UNION UNIVERSITY DR",
            "address_2": "BOX 1864",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053656",
            "telephone_number": "731-661-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARROLL",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "ED.D., LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "0000001419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saira Farid, MD
• Vicki E Farley, RPH
• Ashley Renee Farmer, APRN
• Jennifer Lynn Farmer, LPC-MHSP
• Thomas C Farrar, M.D.
• Fast Pace Medical Clinic PLLC
• Fast Pace Medical Clinic PLLC
• FCD of Jackson, PLLC
• Feed Your Soul LLC
• Beverly Jan Ferguson, RN

• Athletic Trainer in Jackson, TN
• Providers in Jackson, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.