Jerrod Maxwell Sadler, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

LAT3985 Issued in NC

Practice address

1801 Fayetteville St
Durham, NC 27707-3129

Phone

(919) 530-7595

NPI assigned

Nov 6, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1952774309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CROYDON PL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139765",
            "telephone_number": "919-478-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FAYETTEVILLE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073129",
            "telephone_number": "919-530-7595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 S Main St",
            "address_2": "Apartment C18",
            "address_purpose": "LOCATION",
            "city": "Warrensburg",
            "state": "MO",
            "postal_code": "640932144",
            "country_code": "US",
            "telephone_number": "660-441-8131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 S M L King Jr Pkwy",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777055748",
            "country_code": "US",
            "telephone_number": "660-441-8131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADLER",
        "first_name": "JERROD",
        "middle_name": "MAXWELL",
        "name_prefix": "Mr.",
        "credential": "MS, LAT,  ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-06",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT6696",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT3985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athena Sachdev, PA
• Eesha Radhika Sachdeva, MD
• Alia Tereza Sadek
• Raafat Riyadh Sadeq
• Evelyn D Sadler, SLP
• Mackenzie Roach Sadler, PA-C
• Karolina Sadowska
• Katayoun Sadri, DDS
• Rebecca Eli Sadun, M.D., PH.D.
• Reem Montaser Saed, MPH, RD, LDN, IBCLC

• Athletic Trainer in Durham, NC
• Providers in Durham, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.