Active NPI
Jacob Michael Nardone, LAT, ATC
- Athletic Trainer
- Cedar Rapids, IA
National Provider Identifier
1992683403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 121007
- Practice address
- 1220 1St Ave NE
Cedar Rapids, IA 52402-5092 - Phone
- (319) 399-8144
- NPI assigned
- Aug 22, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
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 | 121007 | IA | Primary |
Addresses
Primary practice location
1220 1St Ave NE
Cedar Rapids, IA 52402-5092
Mailing address
704 Hillside Dr
Tiffin, IA 52340-8404
Phone (630) 450-7352
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 |
|---|---|---|---|
| 121007 | IA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1992683403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 HILLSIDE DR",
"city": "TIFFIN",
"state": "IA",
"postal_code": "523408404",
"telephone_number": "630-450-7352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 1ST AVE NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025092",
"telephone_number": "319-399-8144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARDONE",
"first_name": "JACOB",
"middle_name": "MICHAEL",
"credential": "LAT, ATC",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-08-22",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IA",
"license": "121007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.