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Jamie Destache

NPI 1558748780ActiveIndividual· Specialist/Technologist, Athletic Trainer· Stevens Point, WI

Specialist/Technologist, Athletic Trainer in Stevens Point, Wisconsin, with an NPI issued in April 2015.

Overview

NPI1558748780
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedApr 27, 2015
Last updated in NPPESAug 8, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Specialist/Technologist, Athletic Trainer Primary2255A2300X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other athletic trainers in Stevens Point

All 32 athletic trainers in Stevens Point · All athletic trainers in Wisconsin