MR. JUSTIN WAYNE MCKINNEY (NPI# 1003845348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003845348 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN WAYNE MCKINNEY |
| Credential | MS, ATC |
| Practice Address |
1616 W Main St Lebanon TN 37087-3100 |
| Mailing Address |
102 Bent Tree Ct Lebanon TN 37087-2057 |
| Practice Telephone | 6154436818 |
| Mailing Telephone | 6154538262 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346646627 | Justin Mckinney | Social Worker | 5960 Stewart Pkwy, Douglasville, GA 30135-2372 | 2014-11-13 |
| 1639511363 | Justin Allan Mckinney | Physical Therapy Assistant | 1325 W 26th St, Erie, PA 16508-1469 | 2013-07-23 |
| 1124339858 | Justin Leigh Mckinney | Plastic Surgery | 210 Brooks St Ste 200, Charleston, WV 25301 | 2010-06-28 |
| 1629245378 | Justin Mckinney | Physical Therapist | 5901 Broken Sound Pkwy, Ste. 500, Boca Raton, FL 33487-2773 | 2008-05-12 |
| Street Address |
1616 W MAIN ST |
| City | LEBANON |
| State | TN |
| Zip Code | 37087-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508867706 | Katrina Marie Gill | Physician Assistant | 1616 W Main St, Lebanon, TN 37087-3100 | 2005-08-10 |
| 1629468327 | Tennessee Orthopaedic Alliance, Pa | Durable Medical Equipment & Medical Supplies | 1616 W Main St, Suite 300, Lebanon, TN 37087-3100 | 2015-02-02 |
| 1366868747 | Elite Sports Medicine & Orthopaedic Center, Plc | Specialist | 1616 W Main St, Suite 203, Lebanon, TN 37087-3100 | 2014-03-10 |
| 1740511401 | Chad T Price Md PC | Orthopaedic Surgery | 1616 W Main St, Suite 203, Lebanon, TN 37087-3100 | 2010-01-20 |
| 1932383676 | Willard F Gailbreath IIi | Nurse Practitioner | 1616 W Main St, Suite 300, Lebanon, TN 37087-3100 | 2007-12-17 |
| 1942232616 | Danna Suzanne Johnson | Specialist/Technologist | 1616 W Main St, Lebanon, TN 37087-3100 | 2006-07-06 |
| 1043287568 | Steven A Urban | Specialist | 1616 W Main St, Suite 300, Lebanon, TN 37087-3100 | 2006-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
| 1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
| 1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
| 1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
| 1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
| 1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
| Find all providers in zip 37087 | ||||
| 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 |
|---|---|---|---|---|
| 1710524913 | Shyann Wallace | Specialist/Technologist | 1150 Harvest Dr, Lebanon, PA 17046-1574 | 2019-12-06 |
| 1154886414 | August Deshae Montgomery | Specialist/Technologist | 1 Cumberland Sq # 3046, Lebanon, TN 37087-3408 | 2019-01-31 |
| 1356854939 | Christian James Novy | Specialist/Technologist | 10913 Sylvan Vista Dr, Lebanon, IL 62254-2334 | 2017-11-06 |
| 1710401492 | Kenzlie Ann Westerfield | Specialist/Technologist | 613 Countryside Drive, Lebanon, IN 46052 | 2017-08-03 |
| 1174074454 | Kayla Strother | Specialist/Technologist | 321 Hoffmann Ave, Lebanon, OH 45036-1116 | 2016-10-20 |
| 1649727173 | Brandon Gibson | Specialist/Technologist | 226 Dickens Ct, Lebanon, OH 45036-8580 | 2016-09-01 |
| 1427407584 | Matthew Charles Wood | Specialist/Technologist | 946 Stone Ridge Ln, Lebanon, OH 45036-8530 | 2016-06-09 |
| 1144677006 | Heather Tobias | Specialist/Technologist | 950 Isabel Dr, Lebanon, PA 17042-7482 | 2016-05-20 |
| 1518311760 | Catherine Hays | Specialist/Technologist | 426 Deerfield Rd, Lebanon, OH 45036-2363 | 2016-04-13 |
| 1124490461 | Kayla Haston | Specialist/Technologist | 913 Claiborne Ln, Lebanon, IN 46052-3907 | 2015-10-27 |
| Find all providers in LEBANON | ||||
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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.