Active NPI
Jennifer Sims, MED, ATC
- Athletic Trainer
- Manchester, NH
National Provider Identifier
1790925568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126001366
- Practice address
- 100 Saint Anselms Dr # 1727
Manchester, NH 03102-1308 - Phone
- (603) 222-4090
- NPI assigned
- Mar 5, 2009
- 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 | 0126001366 | VA | Primary |
Addresses
Primary practice location
100 Saint Anselms Dr # 1727
Manchester, NH 03102-1308
Mailing address
100 Saint Anselm Drive
#1727
Manchester, NH 03102
Phone (603) 222-4090
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126001366 | VA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267142400000",
"number": "1790925568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SAINT ANSELM DRIVE",
"address_2": "#1727",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "03102",
"telephone_number": "603-222-4090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SAINT ANSELMS DR # 1727",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031021308",
"telephone_number": "603-222-4090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "JENNIFER",
"credential": "MED, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-05",
"last_updated": "2010-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126001366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.