MICHAEL KELLY CARTER


Address: 1811 Nordoff Street, Northridge, CA 91330-0001
Phone: 8186771200

MICHAEL KELLY CARTER (NPI# 1013574201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013574201
Entity Type Individual
Full Name MICHAEL KELLY CARTER
Practice Address 1811 Nordoff Street
Northridge
CA 91330-0001
Mailing Address 2359 Moreno Dr
Camarillo
CA 93010-2148
Practice Telephone 8186771200
Enumeration Date 2019-05-22
Last Update Date 2019-05-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA RESPIRATORY, DEVELOPMENTAL, REHABILITATIVE AND RESTORATIVE SERVI 22 01

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Office Location

Street Address 1811 NORDOFF STREET
City NORTHRIDGE
State CA
Zip Code 91330-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285285122 Marilyn Magaram Center for Food Science, Nutrition & Dietetics Clinic/Center 18111 Nordhoff Street, Northridge, CA 91330 2019-09-23
1174032072 Connie Ng Specialist/Technologist 18111 Nordhoff St, Northridge, CA 91330 2017-09-22
1417466319 Wendell John Velasquez Specialist/Technologist 18111 Nordhoff St, Northridge, CA 91330 2017-09-22
1831703453 Habib Toubedjian Specialist/Technologist 18111 Nordhoff St Redwood Hall 124, Northridge, CA 91330-0001 2020-09-01
1568012672 Yugandhar Ramakrishna Audiologist 100 Monterey Hall 18111 Nordhoff Street, Northridge, CA 91330-0001 2019-09-19
1548824469 Youmna Haddad Speech-Language Pathologist 18111 Nordhoff Street Monterey Hall 100, Northridge, CA 91330-0001 2019-04-25
1295201820 Vickie Yu Speech-Language Pathologist 18111 Nordhoff Street Monterey Hall Csun, Northridge, CA 91330-0001 2018-10-22
1275024861 Ellie Ann Jones Specialist/Technologist 18411 Nordhoff St, Northridge, CA 91330-0001 2018-05-20
1962911867 Heather Lauryn Gittins Specialist/Technologist 1811 Nordhoff Street, Northridge, CA 91330-0001 2017-09-22
1063921963 John Daniel Espinoza Specialist/Technologist 1811 Nordhoff St Cal State Northridge, Northridge, CA 91330-0001 2017-09-22
Find all providers in zip 91330

Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831703453 Habib Toubedjian Specialist/Technologist 18111 Nordhoff St Redwood Hall 124, Northridge, CA 91330-0001 2020-09-01
1336635531 Kristel Fortuny Bushner Specialist/Technologist 9555 Reseda Blvd, 309, Northridge, CA 91324 2018-07-11
1275024861 Ellie Ann Jones Specialist/Technologist 18411 Nordhoff St, Northridge, CA 91330-0001 2018-05-20
1326551151 Isabella Leah Pregozen Specialist/Technologist 18111 Nordhoff St Redwood Hall, Northridge, CA 91330-4728 2017-11-15
1962911867 Heather Lauryn Gittins Specialist/Technologist 1811 Nordhoff Street, Northridge, CA 91330-0001 2017-09-22
1063921963 John Daniel Espinoza Specialist/Technologist 1811 Nordhoff St Cal State Northridge, Northridge, CA 91330-0001 2017-09-22
1780193680 Naomi Shapira Specialist/Technologist 1811 Nordhoff Street Cal State Northridge, Northridge, CA 91330-0001 2017-09-22
1497264303 Alexa Erin Dehaeseleer Specialist/Technologist 18111 Nordhoff Street Cal. State Northridge, Northridge, CA 91330-8287 2017-09-22
1679082572 Phillip John Antonio Specialist/Technologist 18111 Nordhoff Street, California State Northridge, Northridge, CA 91330-8287 2017-09-22
1831147644 Scott James Shaw Specialist/Technologist 18111 Nordhoff St., Northridge, CA 91330-8276 2006-05-04
Find all providers in NORTHRIDGE

Competitor

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City NORTHRIDGE
Zip Code 91330

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Dataset Information

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.

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