JESSICA NODAL LAT, ATC
NPI 1043863111
Specialist/Technologist - Athletic Trainer in Tampa, FL

Q: What is Jessica Nodal's NPI number?

The NPI number for Jessica Nodal is 1043863111. It was assigned to this individual provider in the NPPES registry on July 18, 2019.

Q: What is Jessica Nodal's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Nodal was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 18, 2019

4202 E FOWLER AVE STOP ATH100, TAMPA, FL 33620(702) 403-9658 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jessica Nodal Lat, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA NODAL LAT, ATC (NPI 1043863111) is an individual athletic trainer provider in Tampa, Florida, licensed in Florida (AL5698) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1043863111

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameJESSICA NODALCredential: LAT, ATC

Location Address4202 E FOWLER AVE STOP ATH100Tampa, FL 33620-8455

Mailing Address13560 Cypress Glen Ln Unit 202Tampa, FL 33637-1116 · (702) 403-9658

Phone(702) 403-9658

Sole ProprietorNo

Enumeration DateJuly 18, 2019

✔ NPI 1043863111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in FL · AL5698

Definition

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.

4202 E FOWLER AVE STOP ATH100, Tampa, FL 33620

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY MARIE BERGAN ATC

Specialist/Technologist (Athletic Trainer)