Jesse Lee Herrington, AT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2006022370 Issued in MO

Practice address

Missouri State University Athletic Training Services
901 S. National
Springfield, MO 65897-0001

Phone

(417) 836-5461

Fax

(417) 836-6101

NPI assigned

Aug 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801803408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MISSOURI STATE UNIVERSITY ATHLETIC TRAINING SERVICES",
            "address_2": "901 S. NATIONAL",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658970001",
            "telephone_number": "417-836-5461",
            "fax_number": "417-836-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MISSOURI STATE UNIVERSITY ATHLETIC TRAINING SERVICES",
            "address_2": "901 S. NATIONAL",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658970001",
            "telephone_number": "417-836-5461",
            "fax_number": "417-836-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRINGTON",
        "first_name": "JESSE",
        "middle_name": "LEE",
        "credential": "AT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2006022370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO LICENSURE",
            "identifier": "2006022370",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Glenn Herndon, DO
• Lynn A Herndon, O.D.
• Michael Willam Herr
• Haley Herrera
• Amber D Herring, P.A.-C.
• Herrmann Drug Inc (Fox Grape Pharmacy)
• Susan Elizabeth Herrmann-Ekstam, MS, CCC-A, FAAA
• Jennifer Heslin
• Thomas P. Heslin, PSYD
• Cameron Hess, MD

• Athletic Trainer in Springfield, MO
• Providers in Springfield, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.