MRS. JENNA LYNN DECRAENE A.T.C., LAT
NPI 1902860141
Specialist/Technologist - Athletic Trainer in Fort Wayne, IN
NPI Status: Active since April 14, 2006
Contact Information
7920 W JEFFERSON BLVD
SUITE 100
FORT WAYNE, IN
ZIP 46804
Phone: (260) 459-0917
- Individual
- Female
- Specialist/Technologist
- Athletic Trainer
About JENNA DECRAENE
This page provides the complete NPI Profile along with additional information for Jenna Decraene, a provider established in Fort Wayne, Indiana with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1902860141 assigned on April 2006. The practitioner's primary taxonomy code is 2255A2300X with license number 36001248A (IN). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1902860141
- Provider Name
- MRS. JENNA LYNN DECRAENE A.T.C., LAT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 7920 W JEFFERSON BLVD SUITE 100 FORT WAYNE, IN 46804
- Location Phone
- (260) 459-0917
- Mailing Address
- 952 SKILLET AVE HUNTERTOWN, IN 46748
- Mailing Phone
- (260) 515-0065
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-14-2006
- Last Update Date
- 08-27-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist/Technologist Athletic Trainer
- Taxonomy Code
- 2255A2300X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 36001248A
- License State
- IN
- Taxonomy Description
- 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.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 0 | 2 | 8 | 6 | 0 | 1 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 0 | 2 | 16 | 6 | 0 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 0 + 2 + 1 + 6 + 6 + 0 + 1 + 8 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1902860141 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1982605937 | PETER M ROTHMAN MD Individual | Allergy & Immunology (Allergy) | 7920 W JEFFERSON BLVD SUITE 220 FORT WAYNE, IN 46804 (260) 436-5670 |
| 1285769372 | RECONSTRUCTIVE FOOT & ANKLE SPECIALISTS, LLC Organization | Durable Medical Equipment & Medical Supplies | 7920 W JEFFERSON BLVD SUITE 230 FORT WAYNE, IN 46804 (260) 432-7600 |
| 1689714727 | FORT WAYNE ALLERGY AND ASTHMA CONSULTANTS, INC. Organization | Allergy & Immunology | 7920 W JEFFERSON BLVD SUITE 220 FORT WAYNE, IN 46804 (260) 436-5670 |
| 1154322410 | SUMMIT SURGICAL SUITES, LLC Organization | Clinic/Center (Ambulatory Surgical) | 7920 W JEFFERSON BLVD SUITE 210 FORT WAYNE, IN 46804 (260) 434-2022 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902860141, enumerated in the NPI registry as an "individual" on April 14, 2006
The provider is located at 7920 W Jefferson Blvd Suite 100 Fort Wayne, In 46804 and the phone number is (260) 459-0917
The provider's speciality is Specialist/Technologist with taxonomy code 2255A2300X with a focus in Athletic Trainer
This NPI record was last updated on April 14, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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