Jennifer Gillardon-Tarini, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00082800 Issued in NJ

Practice address

2314 Brinkley Rd
Johns Island, SC 29455-8336

Phone

(609) 509-0809

NPI assigned

Sep 14, 2022

Last updated

Sep 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1912629262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 BRINKLEY RD",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294558336",
            "telephone_number": "609-509-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 BRINKLEY RD",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294558336",
            "telephone_number": "609-509-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLARDON-TARINI",
        "first_name": "JENNIFER",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00082800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATABOC",
            "identifier": "029802504",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "25MT00082800",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jgillardon-tarini@pivoths.com",
            "affiliation": "N",
            "address_1": "2314 Brinkley Rd",
            "city": "Johns Island",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294558336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Beasley Gamble III, D.M.D
• Bryan Andrew Game, D.M.D., M.B.A.
• Jeffrey Clark Gersbach, M.D.
• Jamie Kara Giangreco, RN
• Gloria H Gibbs
• Lorena Gonzalez-Marrero, PHARMD
• Rebecca Maria Gradler, LISW-CP
• Alexander Robert Graulich, PT
• Steven Greene, DPT
• Kelly B Griffith, LPT

• Athletic Trainer in Johns Island, SC
• Providers in Johns Island, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.