Individual provider Active NPI

Katherine Frances Jekanowski, ATC,L CSCS

  • Athletic Trainer
  • Amherst, MA
National Provider Identifier
1841328887
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
957 Issued in MA
Practice address
266 S Pleasant St
Alumni Gym Box #2230
Amherst, MA 01002
Phone
(413) 658-5074
NPI assigned
Mar 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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 957 MA Primary

Addresses

Primary practice location

266 S Pleasant St
Alumni Gym Box #2230
Amherst, MA 01002

Mailing address

1491 S East St
Amherst, MA 01002-3031
Phone (413) 542-5284

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841328887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 S EAST ST",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010023031",
            "telephone_number": "413-542-5284",
            "fax_number": "413-542-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 S PLEASANT ST",
            "address_2": "ALUMNI GYM BOX #2230",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "01002",
            "telephone_number": "413-658-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEKANOWSKI",
        "first_name": "KATHERINE",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "ATC,L  CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

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.