KIM KOREEN RODGERS (NPI# 1033139308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033139308 |
| Entity Type | Individual |
| Full Name | KIM KOREEN RODGERS |
| Credential | MS, ATC, AT/L |
| Practice Address |
22800 N 67th Ave Glendale AZ 85310-4235 |
| Mailing Address |
2732 W Via Bona Fortuna Phoenix AZ 85086-6671 |
| Practice Telephone | 6233764738 |
| Mailing Telephone | 6235160402 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0071 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750889168 | Kim E Rodgers | Social Worker | 1104 W Poplar St, Walla Walla, WA 99362-2756 | 2018-01-31 |
| Street Address |
22800 N 67TH AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85310-4235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659550945 | Laura R Terry | Counselor | 22800 N 67th Ave, Glendale, AZ 85310-4235 | 2007-11-02 |
| 1275726945 | Valerie Lyn Esgar | Speech-Language Pathologist | 22800 N 67th Ave, Glendale, AZ 85310-4235 | 2007-08-24 |
| 1144342536 | Mary Beth Funnell | Registered Nurse | 22800 N 67th Ave, Glendale, AZ 85310-4235 | 2007-04-04 |
| 1801916390 | Margaret Yvonne Johnson | Counselor | 22800 N 67th Ave, Glendale, AZ 85310-4235 | 2007-03-30 |
| 1215057054 | Marie E Howell | Counselor | 22800 N 67th Ave, Glendale, AZ 85310-4235 | 2007-03-29 |
| 1033238977 | Stephanie Witkemper | Counselor | 22800 N 67th Ave, Glendale, AZ 85310-4235 | 2007-03-29 |
| 1033238845 | Kathy Weeks | Counselor | 22800 N 67th Ave, Glendale, AZ 85310-4235 | 2007-03-29 |
| 1619096443 | April Davis Meyeres | Counselor | 22800 N 67th Ave, Glendale, AZ 85310-4235 | 2007-03-29 |
| 1114047743 | Connie Lynn Isenbarger | Counselor | 22800 N 67th Ave, Glendale, AZ 85310-4235 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316597479 | Diana Olp | Technician | 5003 W. Creedance Blvd., Glendale, AZ 85310 | 2019-09-19 |
| 1972091940 | Daniel Hamilton | Physician Assistant | 4946 W Electra Ln, Glendale, AZ 85310 | 2018-04-25 |
| 1265958615 | Rose Ilene Wesol | Registered Nurse | Copper Creek Elementary School, 7071 W Hillcrest Blvd, Glendale, AZ 85310 | 2017-08-17 |
| 1730510785 | Otilia Muresan | Preferred Provider Organization | 22365 N 69th Ave, Glendale, AZ 85310 | 2013-12-02 |
| 1811129026 | Hope Healthcare, LLC | Home Health | 6022 W Robin Ln, Glendale, AZ 85310 | 2009-08-20 |
| 1467699777 | Desert Winds Behavioral Health LLC | Case Management | 6127 W. Westwind Dr., Glendale, AZ 85310 | 2009-01-08 |
| 1083835235 | Amy Marie Mccluer | Occupational Therapy Assistant | 7071 W. Hillcrest Blvd., Glendale, AZ 85310 | 2007-05-02 |
| 1346364866 | Camelia Igna | Assisted Living Facility | 6127 W Westwind Dr, Glendale, AZ 85310 | 2007-03-19 |
| 1124185228 | Daas Healthcare, LLC | Internal Medicine | 19841 N.27th Ave, Suite 300, Phoenix, AZ 85310 | 2007-01-02 |
| 1467545160 | Rgl Development, LLC | Assisted Living Facility | 6735 West Hillcrest Blvd, Glendale, AZ 85310 | 2006-10-02 |
| Find all providers in zip 85310 | ||||
| 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 |
|---|---|---|---|---|
| 1558901439 | Bobbi Fry | Specialist/Technologist | 1 W Firestorm Way, Glendale, AZ 85306-3216 | 2020-01-08 |
| 1457815649 | Emma Trudy Nettles | Specialist/Technologist | 5149 W Cinnabar Ave, Glendale, AZ 85302-2309 | 2019-01-22 |
| 1770078552 | Emily Hunter-scapinello | Specialist/Technologist | 1911 Alpha Rd, Glendale, CA 91208-2109 | 2018-06-25 |
| 1821459611 | Joe Rigoberto Carbajal | Specialist/Technologist | 4011 W Rose Garden Ln, Glendale, AZ 85308-4765 | 2016-03-08 |
| 1154700441 | Jason Serbus | Specialist/Technologist | 9400 W Maryland Ave, Glendale, AZ 85305-3114 | 2015-05-20 |
| 1457740979 | Jeffrey Allen Cieslak | Specialist/Technologist | 400 W Riverwoods Pkwy, Glendale, WI 53212 | 2015-01-21 |
| 1912317033 | Kathleen Langan | Specialist/Technologist | 6051 W Sweetwater Ave, Glendale, AZ 85304-1112 | 2014-04-28 |
| 1730463852 | Glendale Sports Massage LLC | Specialist/Technologist | 6808 N Dysart Rd, #136, Glendale, AZ 85307-2231 | 2011-10-07 |
| 1235265406 | Denise Marie Barnard | Specialist/Technologist | 25250 N 35th Ave, Glendale, AZ 85310-4335 | 2007-02-24 |
| 1023152485 | Aaron Michael Fried | Specialist/Technologist | 6000 W Olive Ave, Glendale, AZ 85302-3006 | 2007-02-19 |
| Find all providers in GLENDALE | ||||
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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.