Individual provider Active NPI

Jolie Tang, ATC

  • Athletic Trainer
  • Baton Rouge, LA
National Provider Identifier
1821554635
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
1 Swan St
Baton Rouge, LA 70813-2260
Phone
(225) 771-2712
NPI assigned
Feb 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 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 Primary

Addresses

Primary practice location

1 Swan St
Baton Rouge, LA 70813-2260

Mailing address

116 Elizabeth Ave
Iselin, NJ 08830-2260
Phone (732) 598-0598

Other practice location 1

116 Elizabeth Ave
Iselin, NJ 08830-2260
Phone (732) 598-0598

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

NPI Registry JSON

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

{
    "created_epoch": "1550361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1821554635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ELIZABETH AVE",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302260",
            "telephone_number": "732-598-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SWAN ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708132260",
            "telephone_number": "225-771-2712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Elizabeth Ave",
            "address_purpose": "LOCATION",
            "city": "Iselin",
            "state": "NJ",
            "postal_code": "088302260",
            "country_code": "US",
            "telephone_number": "732-598-0598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANG",
        "first_name": "JOLIE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-17",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.