Individual provider Active NPI

Jaime Lynn Giangrosso, ATC

  • Athletic Trainer
  • Birmingham, AL
National Provider Identifier
1821216920
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
672 Issued in AL
Practice address
806 Saint Vincents Dr
WCC Suite 620
Birmingham, AL 35205-1684
Phone
(205) 939-1557
Fax
(205) 939-1536
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 672 AL Primary

Addresses

Primary practice location

806 Saint Vincents Dr
WCC Suite 620
Birmingham, AL 35205-1684

Mailing address

1152 Windsor Pkwy
Moody, AL 35004-3035
Phone (205) 337-6032

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
672ALMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Associates, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821216920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 WINDSOR PKWY",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "350043035",
            "telephone_number": "205-337-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 SAINT VINCENTS DR",
            "address_2": "WCC SUITE 620",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051684",
            "telephone_number": "205-939-1557",
            "fax_number": "205-939-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANGROSSO",
        "first_name": "JAIME",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • 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.