Individual provider Active NPI

Jessica Falcinelli, ATC

  • Athletic Trainer
  • Elk Grove Village, IL
National Provider Identifier
1801321609
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
096004520 Issued in IL
Practice address
963 Charlela LN
Apt 306
Elk Grove Village, IL 60007-3286
Phone
(847) 826-7284
NPI assigned
Apr 29, 2017
Last updated
Aug 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 096004520 IL Primary

Addresses

Primary practice location

963 Charlela LN
Apt 306
Elk Grove Village, IL 60007-3286

Mailing address

1926 Flintshire Dr
Schaumburg, IL 60194-2245
Phone (847) 826-7284

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

LicenseStateTypeSpecialty
096004520ILMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1801321609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 FLINTSHIRE DR",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601942245",
            "telephone_number": "847-826-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 CHARLELA LN",
            "address_2": "APT 306",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073286",
            "telephone_number": "847-826-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCINELLI",
        "first_name": "JESSICA",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-29",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096004520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.