NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Jack Sutton Fenner

Athletic Trainer in Shreveport, LA · enumerated 2025.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205629672

Verified

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Registry record

Entity type Individual (Type 1)
Name Jack Sutton Fenner
Sex Male
Practice address Shreveport, LA, 71115
Enumeration date May 27, 2025
Last updated in NPPES May 27, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 012122580 (LA) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jack Fenner?
The National Provider Identifier (NPI) for Jack Fenner is 1205629672, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jack Fenner practice?
The practice location on file with NPPES is in Shreveport, LA. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-27.