Jamie Elizabeth Hibbert, PHD, ATC, CSCS, CES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

333 S Twin Oaks Valley Rd
San Marcos, CA 92096-0001

Phone

(617) 835-7365

NPI assigned

Jan 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1962041079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 OLIPHANT ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921061732",
            "telephone_number": "617-835-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S TWIN OAKS VALLEY RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920960001",
            "telephone_number": "617-835-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBERT",
        "first_name": "JAMIE",
        "middle_name": "ELIZABETH",
        "credential": "PHD, ATC, CSCS, CES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tia-Channell Hernandez
• Elsa Ivonne Herrera Olivera
• Abigail Herrera
• Roshana Herrera
• Jessie Janette Hiatt
• High Care Hospice and Palliative
• Christopher Hill
• David L Hill, RPH
• Karen Hill, LCSW
• Mary L. Hill, M.A.

• Athletic Trainer in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.