Active NPI
Jennifer Kay Mag, ATC, LAT
- Athletic Trainer
- Bowling Green, OH
National Provider Identifier
1942339684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT1031
- Practice address
- 18505 Tontogany Creek Rd
Bowling Green, OH 43402-9037 - Phone
- (419) 654-5401
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT1031 | OH | Primary |
Addresses
Primary practice location
18505 Tontogany Creek Rd
Bowling Green, OH 43402-9037
Mailing address
113 Genson Dr
Haskins, OH 43525-9518
Phone (419) 654-5401
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
| License | State | Type | Specialty |
|---|---|---|---|
| AT1031 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485475200000",
"number": "1942339684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 GENSON DR",
"city": "HASKINS",
"state": "OH",
"postal_code": "435259518",
"telephone_number": "419-654-5401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18505 TONTOGANY CREEK RD",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434029037",
"telephone_number": "419-654-5401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAG",
"first_name": "JENNIFER",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2017-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT1031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.