Active NPI
Jared Plummer, ATC
- Athletic Trainer
- Oxford, MS
National Provider Identifier
1992019285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT0515
- Practice address
- 210 Eagles Nest LN
Oxford, MS 38655-5990 - Phone
- (662) 816-6575
- Fax
- (662) 915-1833
- NPI assigned
- Jul 29, 2010
- Sex
- Male
- Sole proprietor
- No
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 | AT0515 | MS | Primary |
Addresses
Primary practice location
210 Eagles Nest LN
Oxford, MS 38655-5990
Mailing address
210 Eagles Nest LN
Oxford, MS 38655-5990
Phone (662) 816-6575
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 |
|---|---|---|---|
| AT0515 | MS | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280361600000",
"number": "1992019285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 EAGLES NEST LN",
"city": "OXFORD",
"state": "MS",
"postal_code": "386555990",
"telephone_number": "662-816-6575",
"fax_number": "662-915-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 EAGLES NEST LN",
"city": "OXFORD",
"state": "MS",
"postal_code": "386555990",
"telephone_number": "662-816-6575",
"fax_number": "662-915-1833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUMMER",
"first_name": "JARED",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-29",
"last_updated": "2010-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MS",
"license": "AT0515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.