Active NPI
Jocelyn Joy Stark, ATC, CSCS
- Athletic Trainer
- Ithaca, NY
National Provider Identifier
1790334928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 001322-1
- Practice address
- 512 N Campus
Ithaca, NY 14853-6007 - Phone
- (607) 255-4237
- NPI assigned
- Sep 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 001322-1 | NY | Primary |
Addresses
Primary practice location
512 N Campus
Ithaca, NY 14853-6007
Mailing address
512 Campus Road
Teagle Hall, Cornell University
Ithaca, NY 14853-6007
Phone (607) 255-4237
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001322-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1790334928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 CAMPUS ROAD",
"address_2": "TEAGLE HALL, CORNELL UNIVERSITY",
"city": "ITHACA",
"state": "NY",
"postal_code": "148536007",
"telephone_number": "607-255-4237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 N CAMPUS",
"city": "ITHACA",
"state": "NY",
"postal_code": "148536007",
"telephone_number": "607-255-4237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "JOCELYN",
"middle_name": "JOY",
"credential": "ATC, CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "001322-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.