William B Jennings

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

TR00008 Issued in MO

Practice address

78 Kenrick PLZ
Saint Louis, MO 63119-4414

Phone

(314) 962-8020

Fax

(314) 962-6570

NPI assigned

May 15, 2008

Sex

Male

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.

• South St. Louis Rehabilitation Institute, Inc.

  • Physical Therapist
  • Saint Louis, MO
  • NPI 1568484681
  NPD (past)

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1902073299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 KENRICK PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194414",
            "telephone_number": "314-962-8020",
            "fax_number": "314-962-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 KENRICK PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194414",
            "telephone_number": "314-962-8020",
            "fax_number": "314-962-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "TR00008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Georges Jennings, MD
• Christina Jennings, CRNA
• Jack William Jennings, MD
• Lauren Nicole Jennings, MD
• Sarah Lee Jennings, LPC
• Abbie May Jensen, M.D.
• Joshua E Jensen II, M.D.
• Leah Anne Jensen, MD
• Nathaniel Robert Jensen, MD
• Patricia A Jentsch, FNP

• Athletic Trainer in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.