Jasmine Denise Alcala, A.T.C., L.A.T, MA ED

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096.003275 Issued in IL

Practice address

3225 W Foster Ave
Box 25
Chicago, IL 60625-4823

Phone

(773) 244-5682

NPI assigned

Nov 20, 2014

Last updated

Nov 20, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1861899700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 W FOSTER AVE",
            "address_2": "BOX 25",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254823",
            "telephone_number": "773-244-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 W FOSTER AVE",
            "address_2": "BOX 25",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254823",
            "telephone_number": "773-244-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCALA",
        "first_name": "JASMINE",
        "middle_name": "DENISE",
        "credential": "A.T.C., L.A.T, MA ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.003275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gabriel Vincente Alcantara, LCSW
• Marc Alcantara, APRN, NP-C
• Paola Vanessa Alcantara
• Grace Catherine Alcaraz, PA-C
• Marisa Ann Alcaro, D.P.T.

• Athletic Trainer in Chicago, IL
• Providers in Chicago, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.