JACOB RYAN (NPI# 1093146250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093146250 |
| Entity Type | Individual |
| Full Name | JACOB RYAN |
| Credential | M.S. ATC |
| Practice Address |
521 Lancaster Avenue 115 Alumni Coliseum Richmond KY 40475 |
| Practice Telephone | 8596228174 |
| Mailing Telephone | 8596228174 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT495 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538211206 | Jacob D Ryan | Nurse Anesthetist, Certified Registered | 424 W Mcneese St, Lake Charles, LA 70605-5547 | 2007-01-16 |
| Street Address |
521 LANCASTER AVENUE 115 ALUMNI COLISEUM |
| City | RICHMOND |
| State | KY |
| Zip Code | 40475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184977910 | Eku Speech-language-hearing Clinic | Speech-Language Pathologist | 521 Lancaster Avenue, Eku, Wallace 278, Richmond, KY 40475 | 2012-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
| 1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
| 1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
| 1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
| 1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
| Find all providers in zip 40475 | ||||
| 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 |
|---|---|---|---|---|
| 1295335487 | Sukyoon Chang | Specialist/Technologist | 6001 Grove Ave, Richmond, VA 23226-2603 | 2020-10-28 |
| 1063037166 | Ronald Lee Ennis Jr. | Specialist/Technologist | 307 Henley Rd, Richmond, IN 47374-5946 | 2020-06-15 |
| 1841827326 | Sierra L Hobbs | Specialist/Technologist | 1300 W Broad St Ste 113, Richmond, VA 23284-9089 | 2020-03-25 |
| 1033742853 | Courtney Colleen Taylor | Specialist/Technologist | 28 Westhampton Way Robins Center, Richmond, VA 23173-0001 | 2020-02-20 |
| 1386274454 | Josie Mcmahon | Specialist/Technologist | 2005 E Franklin St Apt 320, Richmond, VA 23223-7461 | 2020-01-17 |
| 1699311910 | Halley Crum | Specialist/Technologist | 2325 Chester Blvd, Richmond, IN 47374-1220 | 2019-11-21 |
| 1083260251 | Nicole Elizabeth Valdecanas | Specialist/Technologist | 6718 Little Haven Ct, Richmond, TX 77469-9861 | 2019-08-14 |
| 1194282459 | Alyson Joy Buehler | Specialist/Technologist | 634b Hampton Way, Richmond, KY 40475-8234 | 2019-02-22 |
| 1811454374 | Kendall Braunreiter | Specialist/Technologist | 17302 Hanoverian Dr, Richmond, TX 77407-2710 | 2019-02-20 |
| 1760946545 | Fiona Lefresne | Specialist/Technologist | 221 S 48th St, Richmond, IN 47374-6044 | 2019-01-26 |
| Find all providers in RICHMOND | ||||
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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.