Jared Deion Glosser

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT007287 Issued in PA

Practice address

200 Prospect St
East Stroudsburg, PA 18301-2956

Phone

(570) 422-3231

NPI assigned

Dec 10, 2018

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": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1790256261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 RIDGE DR",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195181242",
            "telephone_number": "717-306-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PROSPECT ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183012956",
            "telephone_number": "570-422-3231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 S Garfield St",
            "address_purpose": "LOCATION",
            "city": "Cleona",
            "state": "PA",
            "postal_code": "170422453",
            "country_code": "US",
            "telephone_number": "717-639-9845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOSSER",
        "first_name": "JARED",
        "middle_name": "DEION",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-10",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT007287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina Geren Bocko, PAC
• Alanna Gerhardt
• Ggnsc East Stroudsburg LP
• Teliah Rae Gibson, LPN, CBS
• Mary Grace Gilbo, M.S., CCC-SLP
• Semyon Glukhoy
• Dora Godnig, PT
• Steven E Gold, MD
• Jonathan A Goldner, DO
• Abel Gonzalez Jr., CRNA

• Athletic Trainer in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.