Jennifer Lynn Bauer, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT004132 Issued in PA

Practice address

Broad and Montgomery Street
Temple University- McGonigle Hall
Philadelphia, PA 19122

Phone

(215) 204-3687

Fax

(215) 204-2133

NPI assigned

Jun 7, 2007

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952504920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 N PENNSYLVANIA AVE",
            "city": "MORRISVILLE",
            "state": "PA",
            "postal_code": "190676622",
            "telephone_number": "215-736-9456",
            "fax_number": "215-204-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BROAD AND MONTGOMERY STREET",
            "address_2": "TEMPLE UNIVERSITY- MCGONIGLE HALL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19122",
            "telephone_number": "215-204-3687",
            "fax_number": "215-204-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT004132",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devon Bauder
• Peter S. Baudy, PHARMD
• Andrew J Bauer, M.D.
• Chase D Bauer, DO, DPT
• Jeninne Marie Bauer
• Lindsay Marie Bauer, LMFT
• Suzanne Bauer, PSY.D, J.D
• Nicolette Bauermeister, MA, BCBA
• Thia Baugh, PMHNP-BC
• Wilfreta Gourdine Baugh, M.D.

• Athletic Trainer in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Athletic Trainer in Pennsylvania

• 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.