JESSICA GOETZ (NPI# 1073020251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073020251 |
| Entity Type | Individual |
| Full Name | JESSICA GOETZ |
| Practice Address |
108 W South St Warrensburg MO 64093-2324 |
| Mailing Address |
2910 Maple St Higginsville MO 64037-2232 |
| Practice Telephone | 6605434256 |
| Mailing Telephone | 6602332261 |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2019-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MO | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497201198 | Jessica Goetz | Physical Therapy Assistant | Carr 459 Km13.1, Calle Las Uvas Int., Isabela, PR 00662 | 2016-09-01 |
| 1285101766 | Jessica Goetz | Physical Therapist | W180n8071 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2018-11-01 |
| 1235457540 | Jessica Tsai Goetz | Urology | 8300 Floyd Curl Dr Fl 4, San Antonio, TX 78229 | 2010-05-11 |
| Street Address |
108 W SOUTH ST |
| City | WARRENSBURG |
| State | MO |
| Zip Code | 64093-2324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154798239 | Brian Joseph Hughes | Specialist/Technologist | 108 W South St, Warrensburg, MO 64093-2324 | 2015-08-25 |
| 1700485166 | Rina Nagai | Specialist/Technologist | 108 W South St, Warrensburg, MO 64093-2324 | 2020-10-18 |
| 1164020640 | Jessica Mcclenton | Student in an Organized Health Care Education/Training Program | 108 W South St, Morrow 125, Warrensburg, MO 64093-2324 | 2020-10-15 |
| 1336747815 | Marcus Bradly Olson | Student in an Organized Health Care Education/Training Program | 108 W South St, Morrow 125, Warrensburg, MO 64093 | 2020-10-15 |
| 1245870096 | Dustan Barnett | Student in an Organized Health Care Education/Training Program | 108 W South St, Warrensburg, MO 64093-2324 | 2020-01-09 |
| 1447895016 | Brennen Hudson | Specialist/Technologist | 108 W South St, Warrensburg, MO 64093-2324 | 2019-11-07 |
| 1700446564 | Amanda Ralton | Specialist/Technologist | 108 W South St, Warrensburg, MO 64093-2324 | 2019-06-14 |
| 1538651047 | Jessica Love | Nurse Practitioner | 108 W South St, Warrensburg, MO 64093-2324 | 2018-05-31 |
| 1659878551 | Shelby Arin Murrell | Student in an Organized Health Care Education/Training Program | 108 W South St, Warrensburg, MO 64093-2324 | 2018-04-09 |
| 1275030173 | Boerie Tommy Chun | Student in an Organized Health Care Education/Training Program | 108 W South St, Warrensburg, MO 64093-2324 | 2018-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841752144 | Joshua Tyler Allman | Specialist/Technologist | 500 South Maguire Street, Warrensburg, MO 64093 | 2019-04-04 |
| 1477015220 | Kelly Maurine Warford | Specialist/Technologist | Morrow 125, Warrensburg, MO 64093 | 2019-04-02 |
| 1104388958 | Kaitlyn Nicole Edison | Specialist/Technologist | 108 W South Street, Morrow 125, Warrensburg, MO 64093 | 2019-04-02 |
| 1891257663 | Mckenzie Higgins | Student in an Organized Health Care Education/Training Program | University of Central Missouri Morrow 125, Warrensburg, MO 64093 | 2019-04-02 |
| 1780142901 | Scott C Huff | Marriage & Family Therapist | Uhc 102, Warrensburg, MO 64093 | 2019-03-06 |
| 1144701079 | Summers Pharmacy of Warrensburg, LLC | Pharmacy | 611 Burkarth Rd, Warrensburg, MO 64093 | 2018-08-28 |
| 1174010037 | Stephen Joseph Sattler | Student in an Organized Health Care Education/Training Program | 108 West South Street, Morrow 125, Warrensburg, MO 64093 | 2018-04-17 |
| 1871090522 | Leah Harold | Student in an Organized Health Care Education/Training Program | 108 W. South Street, Morrow 125, Warrensburg, MO 64093 | 2018-04-10 |
| 1396245544 | Patricia J Turner | Speech-Language Pathologist | 201 S Holden Street, Po Box 638, Warrensburg, MO 64093 | 2018-02-14 |
| 1467952721 | Corie Z'hane Williams | Student in an Organized Health Care Education/Training Program | 500 S Maguire St, Warrensburg, MO 64093 | 2018-02-13 |
| Find all providers in zip 64093 | ||||
| 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 |
|---|---|---|---|---|
| 1841752144 | Joshua Tyler Allman | Specialist/Technologist | 500 South Maguire Street, Warrensburg, MO 64093 | 2019-04-04 |
| 1477015220 | Kelly Maurine Warford | Specialist/Technologist | Morrow 125, Warrensburg, MO 64093 | 2019-04-02 |
| 1104388958 | Kaitlyn Nicole Edison | Specialist/Technologist | 108 W South Street, Morrow 125, Warrensburg, MO 64093 | 2019-04-02 |
| 1477044907 | Brian K Henry | Specialist/Technologist | 1616 Roanoke Dr, Warrensburg, MO 64093-8915 | 2018-05-21 |
| 1154798239 | Brian Joseph Hughes | Specialist/Technologist | 108 W South St, Warrensburg, MO 64093-2324 | 2015-08-25 |
| 1568400638 | Jill Green Pedersen | Specialist/Technologist | 407 E Russell Ave, Bldg. A, Suite 4, Warrensburg, MO 64093-1242 | 2006-06-02 |
| 1700485166 | Rina Nagai | Specialist/Technologist | 108 W South St, Warrensburg, MO 64093-2324 | 2020-10-18 |
| 1447895016 | Brennen Hudson | Specialist/Technologist | 108 W South St, Warrensburg, MO 64093-2324 | 2019-11-07 |
| 1700446564 | Amanda Ralton | Specialist/Technologist | 108 W South St, Warrensburg, MO 64093-2324 | 2019-06-14 |
| 1689152258 | Megan Laurel Batusic | Specialist/Technologist | 540 E Young Ave Ste E, Warrensburg, MO 64093-1250 | 2018-08-05 |
| Find all providers in WARRENSBURG | ||||
| City | WARRENSBURG |
| Zip Code | 64093 |
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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.