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MIRANDA JENSEN
NPI 1053793992
Specialist/Technologist - Athletic Trainer in Southlake, TX

Active since June 28, 2015
1715 MESQUITE RD, SOUTHLAKE, TX 76092(817) 707-0021 Get Directions Write a Review

NPPES record last updated: June 28, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miranda Jensen NPPES

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

MIRANDA JENSEN (NPI 1053793992) is an individual athletic trainer provider in Southlake, Texas, licensed in South Carolina (1470) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1053793992
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMIRANDA JENSEN
Location Address1715 MESQUITE RDSouthlake, TX 76092-5865
Mailing Address1715 Mesquite RdSouthlake, TX 76092-5865 · (817) 707-0021
Phone(817) 707-0021
Sole ProprietorYes
Enumeration DateJune 28, 2015
✔ NPI 1053793992 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 SC · 1470
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.
1715 MESQUITE RD, Southlake, TX 76092
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miranda Jensen's NPI number?

The NPI number for Miranda Jensen is 1053793992. It was assigned to this individual provider in the NPPES registry on June 28, 2015.

Where is Miranda Jensen located?

Miranda Jensen practices at 1715 Mesquite Rd, Southlake, TX 76092. The listed phone number is (817) 707-0021.

What is Miranda Jensen's specialty?

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

When was this NPI record last updated?

The NPPES record for Miranda Jensen was last updated on June 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.