CARISSA AQUINO (NPI# 1063995306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063995306 |
| Entity Type | Individual |
| Full Name | CARISSA AQUINO |
| Practice Address |
2140 Kingsley Ave Orange Park FL 32073-5180 |
| Mailing Address |
7513 Westland Oaks Dr Jacksonville FL 32244-8133 |
| Practice Telephone | 9043852157 |
| Mailing Telephone | 9048618295 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL4644 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2140 KINGSLEY AVE |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-5180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245239607 | James Roy Biggerstaff | Family Medicine | 2140 Kingsley Ave, Orange Park, FL 32073-5180 | 2005-07-19 |
| 1265982045 | Garrett Randall Johnson | Physical Therapist | 2140 Kingsley Ave, Orange Park, FL 32073-5180 | 2016-10-05 |
| 1710432455 | Nicole Mills | Physical Therapist | 2140 Kingsley Ave, Suite 5, Orange Park, FL 32073-5180 | 2016-08-23 |
| 1891121851 | Rebecca Anne Weir | Physical Therapy Assistant | 2140 Kingsley Ave, Suite 5, Orange Park, FL 32073-5144 | 2013-09-23 |
| 1427397264 | Orange Park Acute Trauma,llc | Surgery | 2140 Kingsley Ave, Suite 14, Orange Park, FL 32073-5180 | 2013-02-13 |
| 1588909659 | Amanda Jeanette Shinko | Physician Assistant | 2140 Kingsley Ave, Suite 1, Orange Park, FL 32073-5180 | 2012-11-30 |
| 1902188923 | Rick Albarran | Nurse Practitioner | 2140 Kingsley Ave, Orange Park, FL 32073-5180 | 2011-09-15 |
| 1861790404 | Amber Lynn Thomas | Nurse Practitioner | 2140 Kingsley Ave, Suite 14, Orange Park, FL 32073-5180 | 2011-03-07 |
| 1932421716 | Solantic Urgent Care | Pharmacy | 2140 Kingsley Ave, Orange Park, FL 32073-5180 | 2010-02-22 |
| 1730415696 | Choisser Wellness Center LLC | Clinic/Center | 2140 Kingsley Ave, Suite 9, Orange Park, FL 32073-5180 | 2009-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| 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 |
|---|---|---|---|---|
| 1679046726 | Emily Kate Bartholomew | Specialist/Technologist | 110 Milwaukee Ave, Orange Park, FL 32073-5663 | 2019-01-10 |
| 1104890409 | Matthew J Glogowski | Specialist/Technologist | 920-1 Blanding Blvd, Orange Park, FL 32065 | 2006-02-14 |
| 1679546212 | Garry Gillis | Specialist/Technologist | 540 Kingsley Ave, Orange Park, FL 32073-4847 | 2006-02-13 |
| 1316458094 | Alexander John Herington | Specialist/Technologist | 2140 Kingsley Ave Ste 5, Orange Park, FL 32073-5129 | 2017-10-20 |
| 1487732905 | Jeffery Leroux | Specialist/Technologist | 540 Kingsley Ave, Orange Park, FL 32073-4847 | 2006-11-01 |
| 1891873311 | Shawn Wolf | Specialist/Technologist | 540 Kingsley Ave, Orange Park, FL 32073-4847 | 2006-11-01 |
| 1063590594 | Julie Marie Tribett | Specialist/Technologist | 540 Kingsley Ave, Orange Park, FL 32073-4847 | 2006-11-01 |
| 1033297569 | Christine Adams | Specialist/Technologist | 540 Kingsley Ave, Orange Park, FL 32073-4847 | 2006-11-01 |
| 1912085440 | Amethyst Mann | Specialist/Technologist | 540 Kingsley Ave, Orange Park, FL 32073-4847 | 2006-11-01 |
| 1699869917 | Kelly Mccomiskey | Specialist/Technologist | 540 Kingsley Ave, Orange Park, FL 32073-4847 | 2006-10-03 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
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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.