Jennifer Renee Grovatt, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

310033 Issued in TN

Practice address

3436 Chandler Cove Way
Antioch, TN 37013-4576

Phone

(615) 416-3864

NPI assigned

May 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821210394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 CHANDLER COVE WAY",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370134576",
            "telephone_number": "615-416-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 CHANDLER COVE WAY",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370134576",
            "telephone_number": "615-416-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVATT",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "310033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarice Beatrice Griffin
• Xavier Grisham
• Alayna Danyelle Groce
• Kevin Eugene Groh, PA-C
• Johanna Grose, OT
• Rupa Meena Grummon, MSN NP-C
• Guardian Wheels Trans
• Dorrliza Guess
• Guiding Star Mental Health
• Monica Guirguis

• Athletic Trainer in Antioch, TN
• Providers in Antioch, TN by specialty
• Athletic Trainer in Tennessee

• 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.