MACKENZIE LEIGH HAGAN (NPI# 1033587639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033587639 |
Entity Type | Individual |
Full Name | MACKENZIE LEIGH HAGAN |
Credential | ATC |
Practice Address |
335 Broad St Apt B12 Augusta GA 30901-1541 |
Practice Telephone | 9202512493 |
Enumeration Date | 2015-09-13 |
Last Update Date | 2016-08-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
335 BROAD ST APT B12 |
City | AUGUSTA |
State | GA |
Zip Code | 30901-1541 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
Find all providers in zip 30901 |
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 |
---|---|---|---|---|
1588276943 | Jaden T Harris | Specialist/Technologist | 2205 Moncrieff St, Augusta, GA 30906-8905 | 2020-08-18 |
1033674510 | Dorian Kendall | Specialist/Technologist | 3386 Monte Carlo Dr, Augusta, GA 30906-8019 | 2019-02-08 |
1740769132 | Kristina Poss | Specialist/Technologist | 1220 W Wheeler Pkwy Ste B, Augusta, GA 30909-1895 | 2018-08-07 |
1346751781 | Johnathan Simmons | Specialist/Technologist | 3109 Wrightsboro Rd Ste 214, Augusta, GA 30909-3049 | 2017-10-12 |
1659815215 | Marquise Sims | Specialist/Technologist | 1701 15th St, Augusta, GA 30901-3931 | 2016-12-15 |
1255782728 | Lauren Montebell | Specialist/Technologist | 2737 Huntcliffe Dr, Augusta, GA 30909-0662 | 2016-06-27 |
1689020208 | Alyse Depaola | Specialist/Technologist | 3109 Wrightsboro Rd, Augusta, GA 30909-3049 | 2016-05-12 |
1720427263 | Jessica Kirby | Specialist/Technologist | 9018 Baker Ct, Augusta, GA 30909-2834 | 2013-06-18 |
1255696399 | Jennifer Ashley London | Specialist/Technologist | 812 Cross Court Dr, Augusta, GA 30909-2776 | 2012-07-04 |
1225361033 | Michael Rath | Specialist/Technologist | 11 Augusta Hill Rd, Augusta, NJ 07822-2015 | 2009-09-10 |
Find all providers in AUGUSTA |
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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.