KIRK L LANDRUM (NPI# 1003466210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003466210 |
Entity Type | Individual |
Full Name | KIRK L LANDRUM |
Practice Address |
23 Mason St Laurel MS 39440-4437 |
Mailing Address |
43 Landrum Rd Ovett MS 39464-3735 |
Practice Telephone | 6013990547 |
Practice Fax Number | 6014257585 |
Mailing Telephone | 6013195879 |
Enumeration Date | 2019-09-19 |
Last Update Date | 2019-09-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT0177 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
23 MASON ST |
City | LAUREL |
State | MS |
Zip Code | 39440-4437 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629058094 | South Central Regional Medical Center | Ambulance | 23 Mason St, Laurel, MS 39440-4437 | 2006-01-20 |
1568007045 | Natalie Day Gibbes | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39440-4437 | 2019-11-08 |
1114141975 | Sherri Leigh Forehand | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39440-4437 | 2007-04-12 |
1609994086 | Lydia S. Mitchell | Occupational Therapy Assistant | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-26 |
1326165093 | Carrie Elizabeth Freeman | Occupational Therapist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-26 |
1871619528 | Marsha Diane Boyd | Occupational Therapist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-22 |
1124143185 | Ashley C Shoemaker | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39441 | 2007-03-20 |
1457476467 | Chanelle Alis Cooley | Occupational Therapist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-20 |
1427181411 | Jessica Rose Braddock | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-13 |
1225160591 | Alexandra Carter O'neal | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
Find all providers in zip 39440 |
Taxonomy Code | 2255A2300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
Specialization | Athletic Trainer |
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. |
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356959688 | Nicholas Brady Verlanic | Specialist/Technologist | 2533 Buffalo Horn Dr, Laurel, MT 59044-8319 | 2020-07-22 |
1477187227 | Rachel Abunassar | Specialist/Technologist | 8220 Spring Branch Ct, Laurel, MD 20723-2030 | 2020-03-01 |
1396384947 | Natasha Lea Hayes | Specialist/Technologist | 254 Springhill Rd, Laurel, MS 39443-7874 | 2019-12-30 |
1215412820 | Patrice Adobea Ankomah | Specialist/Technologist | 833 White Way, Laurel, MD 20707-3841 | 2018-09-28 |
1144701970 | Lauren Annick Pettyjohn-robin | Specialist/Technologist | 6404 Orly Ln, Laurel, MD 20707-2980 | 2018-08-29 |
1225523178 | Kyle Seymour | Specialist/Technologist | 8000 Cherry Ln, Laurel, MD 20707-3663 | 2018-06-23 |
1750739207 | Erin Johnson | Specialist/Technologist | 14323 Laurel Rd, Laurel, DE 19956 | 2016-05-25 |
1831587666 | Caitlin Renee Lovend | Specialist/Technologist | 9625 Coronet Ct, Laurel, MD 20723-1468 | 2015-01-01 |
1982011029 | Catrice J Ballard | Specialist/Technologist | 14101 Adkins Rd, Laurel, MD 20708-1103 | 2014-07-21 |
1033102470 | Valentin Danielle Porter | Specialist/Technologist | 410 Main St, #4, Laurel, MD 20707-4143 | 2005-08-30 |
Find all providers in LAUREL |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.