Ann Jeanette Hargrove, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096.002802 Issued in IL

Practice address

2122 N 27TH St
Decatur, IL 62526-2191

Phone

(217) 876-4971

NPI assigned

Nov 7, 2013

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Decatur Memorial Hospital

  • General Acute Care Hospital
  • Decatur, IL
  • NPI 1164477725
  NPD (past)

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891124152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E STELLA DR",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 N 27TH ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625262191",
            "telephone_number": "217-876-4971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 E Lake Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625213824",
            "country_code": "US",
            "telephone_number": "217-464-5970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARGROVE",
        "first_name": "ANN",
        "middle_name": "JEANETTE",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.002802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Hanson, LCPC
• Joseph Harbourn, ACNPC-AG
• Elizabeth Ann Harding
• Julianne A Hardnett, FNP-C
• Marcia A Hardy, DDS
• Harmone Labs, LLC
• Della D Harpstrite
• Rebekah Harrelson, LSW
• Cayla K Harris
• Cheyanne Harris

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.