Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jade Shields, ATC, LAT

Individual provider Athletic Trainer · NPI 1750988838

Jade Shields, ATC, LAT is an Athletic Trainer in Saint Augustine, Florida. Licensed in Pennsylvania. Registered with an NPI since 2020.

Licensed in
PA
In the registry since
2020
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

144 Enrede Ln
Saint Augustine, FL 32095-7436
Phone: (530) 263-9295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence RT007582 (PA)

Record details

NPI number1750988838
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedOctober 2, 2020
Last updated in NPPESOctober 2, 2020
Certification dateOctober 2, 2020
Mailing address144 Enrede Ln, Saint Augustine, FL 32095-7436

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