Individual provider Active NPI

Jordyn Ashlyn Rine, MS, ATC, CES

  • Athletic Trainer
  • Charlottesville, VA
National Provider Identifier
1871139907
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0126003188 Issued in VA
Practice address
111 Monticello Ave Ste B
Charlottesville, VA 22902-5698
Phone
(434) 817-4276
NPI assigned
Nov 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 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 0126003188 VA Primary

Addresses

Primary practice location

111 Monticello Ave Ste B
Charlottesville, VA 22902-5698

Mailing address

526 Georgetown Rd Apt C
Charlottesville, VA 22901-2435
Phone (619) 481-8153

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0126003188VAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1871139907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 GEORGETOWN RD APT C",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012435",
            "telephone_number": "619-481-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MONTICELLO AVE STE B",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025698",
            "telephone_number": "434-817-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINE",
        "first_name": "JORDYN",
        "middle_name": "ASHLYN",
        "credential": "MS, ATC, CES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126003188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.