JORDAN WILLIAMS (NPI# 1023643541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023643541 |
Entity Type | Individual |
Full Name | JORDAN WILLIAMS |
Practice Address |
11580 Magnolia Ave Riverside CA 92505-7737 |
Mailing Address |
8432 Magnolia Ave Riverside CA 92504-3206 |
Practice Telephone | 9518528981 |
Enumeration Date | 2020-03-04 |
Last Update Date | 2020-03-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831701093 | Jordan Leigh Williams | Registered Nurse | 6901 E Chauncey Ln Apt 3169, Phoenix, AZ 85054-5146 | 2020-08-19 |
1093356339 | Jordan Williams | Social Worker | 1503 Liatris Ln, North Pole, AK 99705-5082 | 2019-10-07 |
1629480512 | Jordan C Williams | Physical Therapist | 460 N Switzer Canyon Dr Ste 400, Flagstaff, AZ 86001-4851 | 2014-05-27 |
1689271496 | Jordan Alexandria Williams | Behavior Technician | 3800 Camp Creek Pkwy Sw Ste 100, Atlanta, GA 30331-6247 | 2020-10-05 |
1689294274 | Jordan Williams | Pharmacist | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2020-04-23 |
1639707334 | Jordan Williams | Student in an Organized Health Care Education/Training Program | 1802 E 19th St, Tulsa, OK 74104-5403 | 2020-03-29 |
1962055731 | Jordan Chase Williams | Psychologist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2019-07-22 |
1962063016 | Jordan Kazuo Williams | Physician Assistant | 555 N Arlington Ave, Reno, NV 89503-4723 | 2019-06-27 |
1063988343 | Jordan Williams | Physician Assistant | 975 Ryland St Ste 100, Reno, NV 89502-1669 | 2018-10-15 |
1225513419 | Jordan L Williams | Behavioral Analyst | 6021 244th St Sw Ste 400, Mountlake Terrace, WA 98043-5426 | 2018-10-03 |
Street Address |
11580 MAGNOLIA AVE |
City | RIVERSIDE |
State | CA |
Zip Code | 92505-7737 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
Find all providers in zip 92505 |
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 |
---|---|---|---|---|
1902418213 | Megan Alicia Lopez | Specialist/Technologist | 5450 Victoria Ave, Riverside, CA 92506-3362 | 2020-08-18 |
1225654163 | Victoria Paige Ruffa | Specialist/Technologist | 7675 Magnolia Ave, Riverside, CA 92504-3627 | 2020-06-16 |
1093344780 | Hannah Marie Boutwell | Specialist/Technologist | 19591 Brisbane Dr, Riverside, CA 92508-6068 | 2020-04-03 |
1316572811 | Nia Aaleya Mosley | Specialist/Technologist | 4620 Van Buren Blvd Apt 110, Riverside, CA 92503-2689 | 2020-03-05 |
1780219295 | Tiara Cobbins | Specialist/Technologist | 7550 Orchard St Apt 58, Riverside, CA 92504-3759 | 2020-03-04 |
1932733607 | Kelvin Chiu | Specialist/Technologist | 11580 Magnolia Ave Apt 636, Riverside, CA 92505-7738 | 2020-03-02 |
1861026247 | Sarah Elizabeth Reuss | Specialist/Technologist | 11800 Indiana Ave, Riverside, CA 92503-5172 | 2020-02-25 |
1699308353 | Jessika Jo Campiotti | Specialist/Technologist | 3708 Calle Monada, Riverside, CA 92503-4533 | 2020-02-20 |
1154886570 | Fidel Leonel Espinoza | Specialist/Technologist | 3531 Monroe St., Riverside, CA 92504-6322 | 2019-02-11 |
1710472683 | Alyssa Maurer | Specialist/Technologist | 3366 Hatten Ln, Riverside, CA 92503-8903 | 2018-06-24 |
Find all providers in RIVERSIDE |
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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.