Ms. Jillanna Simon, LAT, ATC, PES
Specialist/Technologist, Athletic Trainer in West Marlboro, Vermont
1033529177- Practice location
- 2230 Higley Hill RD, West Marlboro, VT 05363-9512
- Phone
- 802-258-7806
- Fax
- —
- Last updated
- April 29, 2014
Jillanna Simon is a Specialist/Technologist, Athletic Trainer based in West Marlboro, VT. Jillanna Simon practices in West Marlboro, VT and has the professional credentials of LAT, ATC, PES. The NPI Number for Jillanna Simon is 1033529177 and holds a License No. RT005522 (PA). The current practice location address for Jillanna Simon is 2230 Higley Hill RD, West Marlboro, VT 05363-9512 and can be reached out via phone at 802-258-7806.
Provider Profile Details
- NPI Number
- 1033529177
- Provider Name
- Jillanna Simon
- Credential
- LAT, ATC, PES
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2230 Higley Hill RD, West Marlboro, VT 05363-9512
- Phone Number
- 802-258-7806
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 29, 2014
- Last Update Date
- April 29, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2230 Higley Hill RD
West Marlboro, VT 05363-9512 - City
- West Marlboro
- State
- Vermont
- Zip
- 05363-9512
- Phone Number
- 802-258-7806
Provider Business Mailing Address Details
- Address
- 2230 Higley Hill RD
West Marlboro, VT 05363-9512 - City
- West Marlboro
- State
- VT
- Zip
- 05363-9512
- Phone Number
- 802-258-7806
License Information
- License Number (1)
- RT005522
- License State (1)
- PA
- Taxonomy (1)
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- License Number (2)
- 104.0081190
- License State (2)
- VT
- Taxonomy (2)
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialist/Technologist, Athletic Trainers near West Marlboro, VT
View all Specialist/Technologist, Athletic Trainers in West Marlboro →Frequently Asked Questions
What is the NPI number of Ms. Jillanna Simon, LAT, ATC, PES?
The NPI number of Ms. Jillanna Simon, LAT, ATC, PES is 1033529177. It was assigned on April 29, 2014 and is currently active in the NPPES registry.
What is the specialty of Ms. Jillanna Simon, LAT, ATC, PES?
Ms. Jillanna Simon, LAT, ATC, PES is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in PA under license number RT005522.
Where does Ms. Jillanna Simon, LAT, ATC, PES practice?
The practice location is 2230 Higley Hill RD, West Marlboro, VT 05363-9512. The office can be reached at 802-258-7806 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033529177 directly on the NPPES registry website.