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JAKE EDWARD CARROLL
NPI 1508427782
Specialist/Technologist - Athletic Trainer in Duluth, MN

Active since June 27, 2019
1200 KENWOOD AVE, DULUTH, MN 55811(218) 723-5960 Get Directions Write a Review

NPPES record last updated: June 27, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jake Edward Carroll NPPES

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

JAKE EDWARD CARROLL (NPI 1508427782) is an individual athletic trainer provider in Duluth, Minnesota and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1508427782
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJAKE EDWARD CARROLL
Location Address1200 KENWOOD AVEDuluth, MN 55811-4199
Mailing Address1200 Kenwood AveDuluth, MN 55811-4199
Phone(218) 723-5960
Sole ProprietorNo
Enumeration DateJune 27, 2019
✔ NPI 1508427782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1200 KENWOOD AVE, Duluth, MN 55811
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Other Providers at the Same Location NPPES 20

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

TEMBER RAE COOPER
Student in an Organized Health Care Education/Training Program
1200 KENWOOD AVE
DULUTH, MN 55811
St. Louis County (320) 295-0146
CANDACE WASNER
Student in an Organized Health Care Education/Training Program
1200 KENWOOD AVE
DULUTH, MN 55811
St. Louis County (218) 723-6046
TIANA MARI FORBES MSW
Student in an Organized Health Care Education/Training Program
1200 KENWOOD AVE
DULUTH, MN 55811
St. Louis County (218) 723-6046
DR. HAL STROUGH ATR, ATC
Specialist/Technologist (Athletic Trainer)
1200 KENWOOD AVE
DULUTH, MN 55811
St. Louis County (218) 723-6798
CECELIA BARNES
Specialist/Technologist (Athletic Trainer)
1200 KENWOOD AVE
DULUTH, MN 55811
St. Louis County (218) 723-5960
RICHARD BENJAMIN CHIPMAN
Registered Nurse (Psychiatric/Mental Health)
1200 KENWOOD AVE
DULUTH, MN 55811
St. Louis County (310) 701-2762
KIMBERLY ANN ANDERSON
Student in an Organized Health Care Education/Training Program
1200 KENWOOD AVE
DULUTH, MN 55811
St. Louis County (218) 625-4408
MS. VICKI L. ANDREWS CFNP
Nurse Practitioner (Family)
1200 KENWOOD AVE
DULUTH, MN 55811
St. Louis County (218) 723-6282

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 Jake Carroll's NPI number?

The NPI number for Jake Carroll is 1508427782. It was assigned to this individual provider in the NPPES registry on June 27, 2019.

Where is Jake Carroll located?

Jake Carroll practices at 1200 Kenwood Ave, Duluth, MN 55811. The listed phone number is (218) 723-5960.

What is Jake Carroll'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 Jake Carroll was last updated on June 27, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.