Jessup Daniel Pierce, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

001453 Issued in NY

Practice address

432 Western Ave
Albany, NY 12203-1419

Phone

(518) 454-5134

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912033804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WASHINGTON AVE APT 4",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123051792",
            "telephone_number": "518-429-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031419",
            "telephone_number": "518-454-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "JESSUP",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "001453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory B Pieper, CRNA
• Catherine Pierce, SLP
• Daniel Pierce, RN
• David Edward Pierce, LMHC
• Elizabeth Marie Pierce, MHC
• Maylen Pierce
• Patricia Ann Pierce, OTR/L
• Ronald M. Pierce
• Linda Pierre
• Melanie Pierre, LMSW

• Athletic Trainer in Albany, NY
• Providers in Albany, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.