MR. JERAD COBURN (NPI# 1023671914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023671914 |
| Entity Type | Individual |
| Full Name | MR. JERAD COBURN |
| Credential | ATC, LAT |
| Practice Address |
11811 Owens Canyon Ln Cypress TX 77433-2809 |
| Practice Telephone | 7653189446 |
| Mailing Telephone | 7653189446 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT4674 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11811 OWENS CANYON LN |
| City | CYPRESS |
| State | TX |
| Zip Code | 77433-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108185 | Tanisha Cosby Harrell | Counselor | 9212 Fry Road Ste 105, Pmb 208, Cypress, TX 77433 | 2020-06-11 |
| 1548896475 | Fresenius Medical Care Spring Cypress Home, LLC | Clinic/Center | 20435 Cypresswood Dr, Cypress, TX 77433 | 2020-03-23 |
| 1144854803 | Cypress Dental,p.a | Clinic/Center | 17823 Longenbaugh Dr, Suite D, Cypress, TX 77433 | 2020-03-02 |
| 1366082752 | Alicia (ali) Jackson | Social Worker | 15040 Fairfield Place, Cypress, NA 77433 | 2020-01-14 |
| 1235771395 | Gabriela Antonieta Palacios | Dentist | 8943 Texas Honeysuckle Trail, Cypress, TX 77433 | 2019-10-10 |
| 1902456403 | Vera Lee Todd | Technician | 11507 Timberly Park Lane, Cypress, TX 77433 | 2019-09-17 |
| 1609422898 | Florentino Zuniga Jr. | Pharmacist | 28550 Us-290, Cypress, TX 77433 | 2019-08-13 |
| 1164084794 | Jaclyn D Satchel | Social Worker | 19906 Virginia Falls Lane, Cypress, TX 77433 | 2019-07-03 |
| 1942860234 | Focal Point Eye Care LLC | Clinic/Center | 26960 Hempstead Hwy, Cypress, TX 77433 | 2019-06-18 |
| 1598328759 | Costco Wholesale Corporation | Pharmacy | 26960 Northwest Fwy, Cypress, TX 77433 | 2019-04-15 |
| Find all providers in zip 77433 | ||||
| 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 |
|---|---|---|---|---|
| 1255932562 | Kyndall Leigh Soukup | Specialist/Technologist | 16002 Rosethorn Ct, Cypress, TX 77429-3490 | 2020-11-03 |
| 1437783578 | Elinasofia Hyams | Specialist/Technologist | 14231 Bella Dr, Cypress, TX 77429-2533 | 2020-02-27 |
| 1215569538 | Islya L Silva | Specialist/Technologist | 18203 Prairie Bend Ct, Cypress, TX 77433-1247 | 2020-02-05 |
| 1033671904 | Victoria Hunt | Specialist/Technologist | 15519 Bluebonnet Dale Dr, Cypress, TX 77433-5574 | 2019-04-01 |
| 1932668530 | Garrett Freight | Specialist/Technologist | 5262 Belle Ave, Cypress, CA 90630-3603 | 2019-03-14 |
| 1033675673 | Jill Ashly Cole | Specialist/Technologist | 10700 Fry Rd, Cypress, TX 77433-7698 | 2019-02-19 |
| 1437631983 | Rod Talavera | Specialist/Technologist | 13815 Layton Hills Dr, Cypress, TX 77429-6839 | 2018-08-31 |
| 1619489234 | Ethan Francis Simpson | Specialist/Technologist | 4901 Newman Ave, Cypress, CA 90630-2845 | 2017-11-05 |
| 1184153249 | Rosette Nkudom Njie | Specialist/Technologist | 9107 Pine Place Ct, Cypress, TX 77433-0034 | 2017-06-12 |
| 1730620683 | Scott Lange | Specialist/Technologist | 13430 Barons Lake Ln, Cypress, TX 77429-5590 | 2017-03-12 |
| Find all providers in CYPRESS | ||||
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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.