Jennifer Mae Graf, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

030802064

Practice address

2755 Augustine Herman Hwy # Md21915
Chesapeake City, MD 21915-1408

Phone

(410) 885-2075

NPI assigned

Mar 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1922500263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 CHESTNUT SPRINGS RD",
            "city": "CHESAPEAKE CITY",
            "state": "MD",
            "postal_code": "219151114",
            "telephone_number": "817-504-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 AUGUSTINE HERMAN HWY # MD21915",
            "city": "CHESAPEAKE CITY",
            "state": "MD",
            "postal_code": "219151408",
            "telephone_number": "410-885-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAF",
        "first_name": "JENNIFER",
        "middle_name": "MAE",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A0000119",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": "030802064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Angela Dubuque, OT
• Kimberly Janell Elam, PT
• Family Medical Care Associates, LLC
• Natalie Victoria Hargan, LCPC
• Christopher Hartman, LAT, ATC
• Kristin Pupa Jacono, DPT
• Kara Kehl
• Shahnawaz Ahmed Khan, MD

• All providers in Chesapeake City, MD
• Athletic Trainer in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.