Jennifer Anne Christie, ATC,LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL1139 Issued in FL

Practice address

394 Stonehurst Pkwy
Saint Augustine, FL 32092-5017

Phone

(904) 616-9949

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982811287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 STONEHURST PKWY",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320925017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 STONEHURST PKWY",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320925017",
            "telephone_number": "904-616-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIE",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "ATC,LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL1139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kye Im Chong, MD
• Rezwana Chowdhury
• Susan Therese Christ, MD
• Frederick Michael Christensen, AU.D.
• Penny Christian
• Kristin D Christopher, MS,. PROF., RMHCI
• Angela Marie Cicchino, DPT
• John Paul Cicciaro Jr., PT, LAT
• Isabella Rose Cioffoletti
• Circuit Care Support

• Athletic Trainer in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Athletic Trainer in Florida

• 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.