Jasmin Deberry

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

220 Champions Drive
Harrisonburg, VA 22807-0001

Phone

(804) 822-5054

NPI assigned

Sep 15, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1881364545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 FREDONIA RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271603",
            "telephone_number": "804-822-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CHAMPIONS DRIVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228070001",
            "telephone_number": "804-822-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBERRY",
        "first_name": "JASMIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.swol123.net/default.aspx",
            "affiliation": "N",
            "address_1": "220 Champions Drive",
            "city": "Harrisonburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228070001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Allison Elizabeth De Blois
• Sarah De Boer
• Dean Family Dental PLLC
• Carey Elizabeth Dean, FNP
• Curtis Glenn Dean, DDS
• Robert Define III, LPC
• Sarah Defnall, LPC
• Marcia S Defreese, MD
• Aklilu Mersha Degene, MD
• Diana Degner

• Athletic Trainer in Harrisonburg, VA
• Providers in Harrisonburg, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.