Active NPI
Jason Thomas Meredith, ATC
- Athletic Trainer
- Tampa, FL
National Provider Identifier
1992768279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL1946
- Practice address
- 8302 Montague St
Tampa, FL 33635-6014 - Phone
- (352) 283-0489
- NPI assigned
- Apr 8, 2006
- Sex
- Male
- 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 | AL1946 | FL | Primary |
Addresses
Primary practice location
8302 Montague St
Tampa, FL 33635-6014
Mailing address
3450 Palencia Dr
Apt 2008
Tampa, FL 33618-1827
Phone (352) 283-0489
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 |
|---|---|---|---|
| AL1946 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992768279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 PALENCIA DR",
"address_2": "APT 2008",
"city": "TAMPA",
"state": "FL",
"postal_code": "336181827",
"telephone_number": "352-283-0489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8302 MONTAGUE ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336356014",
"telephone_number": "352-283-0489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEREDITH",
"first_name": "JASON",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL1946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- 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.