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Jason Wayne Moore , LAT, ATC

Specialist/Technologist - Athletic Trainer β€’ Jackson, MO

Active NPI 1740511716 Individual Practitioner Male Practitioner
Practice location in NPPES

315 S Missouri St
Jackson, MO 637552000

Call 5738375960 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

315 S Missouri St

Jackson, MO 637552000

Telephone 5738375960

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jackson and Missouri

2 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Jackson, MO (1,036 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-06
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES MO 2009029675

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location September 06, 2024

Registered at 315 S MISSOURI ST, JACKSON, MO 637552000 (Tel: 5738375960)

πŸ“
Updated Business Mailing Address September 06, 2024

Registered at 175 MARK AVE, JACKSON, MO 637558437 (Tel: 5738375960)

πŸ‘€
Provider Name / Credentials Updated September 06, 2024

Recorded as JASON MOORE, LAT/ATC

βœ…
NPI Profile Active January 14, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 14, 2010

Registered at 3047 WILLIAM ST, SUITE 100, CAPE GIRARDEAU, MO 637036393 (Tel: 5733395989)

πŸ“
Business Mailing Address (Initial Record) January 14, 2010

Registered at 501 DEARBORN ST, SCOTT CITY, MO 637802306

πŸ‘€
Provider Name / Credentials (Initial Record) January 14, 2010

Recorded as JASON MOORE, ATC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2010

Specialist/Technologist (license number reported to NPPES: MO 2009029675)

🟒
Initial NPI Registration & Enumeration January 14, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1740511716
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 14, 2010
Last Update: September 06, 2024
Sole Proprietor: No

Mailing Address

175 Mark Ave

Jackson, MO 637558437

Phone: 5738375960

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.