Jack Fenner
NPI 1205629672 · Athletic Trainer · Shreveport, LA
Jack Fenner is a Athletic Trainer provider in Shreveport, LA (NPI 1205629672).
Provider details
- NPI number
- 1205629672
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 012122580 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-05-27
- Last updated
- 2025-05-27
- Certified
- 2025-05-27
Frequently asked questions
- What is Jack Fenner's NPI number?
- Jack Fenner's National Provider Identifier (NPI) is 1205629672, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Fenner's specialty?
- Jack Fenner is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jack Fenner located?
- Jack Fenner's practice location on file with NPPES is 427 Prestonwood Dr, Shreveport, LA 71115-3723.
- What is Jack Fenner's phone number?
- The practice phone number listed in the NPPES registry for Jack Fenner is (318) 344-3686.
- Is Jack Fenner's NPI active?
- Yes — Jack Fenner's NPI (1205629672) is active in the NPPES registry as of the last update on 2025-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.