NPIMap

Individual provider Active NPI

Jennifer Marie Probstfield, ATC

  • Athletic Trainer
  • Springfield, MO
National Provider Identifier
1932192895
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2005024707 Issued in MO
Practice address
2900 S National Ave
Springfield, MO 65804-3634
Phone
(417) 885-3888
NPI assigned
Aug 25, 2005
Last updated
Oct 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2005024707 MO Primary
Massage Therapist 225700000X 2004031355 MO

Addresses

Primary practice location

2900 S National Ave
Springfield, MO 65804-3634

Mailing address

5311 S Parkhill Ave
Springfield, MO 65810-2575
Phone (417) 496-0559

Other identifiers 1

IdentifierTypeStateIssuer
MA3058OtherMOPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2005024707MOMDAthletic Trainer
2004031355MOMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Neurological and Spine Institute PastSince Jan 1, 2011 Accepting new patients
Springfield Neurological and Spine Institute Past Accepting new patients
Springfield Neurological and Spine Institute PastSince Jan 1, 2011 Accepting new patients
Springfield Neurological and Spine Institute PastSince Jan 1, 2011 Accepting new patients
Springfield Neurological and Spine Institute PastSince Jan 1, 2011 Accepting new patients
Springfield Neurological and Spine Institute PastSince Jan 1, 2011 Accepting new patients
Neurological and Spine Institute of the Ozarks LLC PastSince Jan 1, 2011 Accepting new patients
Springfield Neurological and Spine Institute Past Accepting new patients
Springfield Neurological and Spine Institute PastSince Jan 1, 2011 Accepting new patients
Springfield Neurological and Spine Institute PastSince Jan 1, 2011 Accepting new patients
Springfield Neurological and Spine Institute PastSince Jan 1, 2011 Accepting new patients
Springfield Neurological and Spine Institute PastSince Jan 1, 2011 Accepting new patients

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1932192895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 S PARKHILL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102575",
            "telephone_number": "417-496-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043634",
            "telephone_number": "417-885-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROBSTFIELD",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2005024707",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2004031355",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "MA3058",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.