KELLY LUSE (NPI# 1093157307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093157307 |
| Entity Type | Individual |
| Full Name | KELLY LUSE |
| Practice Address |
5013 Holyoke Way Sacramento CA 95841-3022 |
| Practice Telephone | 9162835013 |
| Enumeration Date | 2013-07-28 |
| Last Update Date | 2013-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| 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 |
5013 HOLYOKE WAY |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95841-3022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942794359 | Paris D Oceguera Torres | Behavior Technician | 5000 Auburn Blvd, Sacramento Maxim Healthcare, CA 95841 | 2018-06-19 |
| 1386196228 | Always Connected Incorporated | Community/Behavioral Health | 4738 Auburn Boulevard Suite 100, Sacramento, CA 95841 | 2016-10-26 |
| 1538619077 | Hashim Alhaidari | Pharmacist | 5002 Greenberry Drive, Sacramento, CA 95841 | 2016-10-08 |
| 1346588480 | Ucp of Sacramento and Northern California | Community/Behavioral Health | 4350 Auburn Blvd., Sacramento, CA 95841 | 2013-01-24 |
| 1962778639 | Mandi Elizabeth Mcbride | Counselor | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841 | 2012-03-28 |
| 1144595976 | Jesse John Echavarria | Counselor | 4441auburn Bvld, Suite E, Sacramento, CA 95841 | 2012-03-13 |
| 1780994269 | Jessica Hernandez | Behavioral Analyst | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841 | 2010-10-18 |
| 1386958262 | Altha Marie Gray-wilson | Counselor | 4141 Auburn Blvd, Sacramento, CA 95841 | 2010-08-03 |
| 1780900795 | Cynthia Jeanette Keeth | Counselor | 4441 Auburn Blvd., Suite E, Sacramento, CA 95841 | 2010-04-15 |
| 1104073121 | Ellen Mark | Dentist | 6399 Garfield Ave, Suite 150, Sacramento, CA 95841 | 2008-08-20 |
| Find all providers in zip 95841 | ||||
| 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 |
|---|---|---|---|---|
| 1053944702 | Celeste De La Cruz | Specialist/Technologist | 8724 Cord Way, Sacramento, CA 95828-5832 | 2020-02-20 |
| 1992335186 | Joel Cantu | Specialist/Technologist | 2781 Castle Hill Ct Apt 38, Sacramento, CA 95821-5820 | 2020-01-16 |
| 1295388361 | Stacy Hatsumi Miller | Specialist/Technologist | 1919 Spanos Ct, Sacramento, CA 95825-3981 | 2019-07-18 |
| 1215495601 | Morgan Fong | Specialist/Technologist | 168 Arbusto Cir, Sacramento, CA 95831-4560 | 2019-03-05 |
| 1194240630 | Kevin Christofer Abdelnour | Specialist/Technologist | 6866 Sailboat Way, Sacramento, CA 95831 | 2017-08-05 |
| 1770012296 | Jennifer Dawnflower Mathe | Specialist/Technologist | 2533 R St, Sacramento, CA 95816-6887 | 2017-06-08 |
| 1568990737 | John Ledford | Specialist/Technologist | 8036 Maybelline Way, Sacramento, CA 95823-4827 | 2017-05-31 |
| 1518400985 | Lynea Elaine Adams | Specialist/Technologist | 2090 Mangrum Ave, Sacramento, CA 95822-3909 | 2016-12-02 |
| 1811439441 | Manuel Gilbert Romero | Specialist/Technologist | 500 David J Stern Walk, Sacramento, CA 95814-3346 | 2016-11-14 |
| 1225429251 | Michael Thomas Green | Specialist/Technologist | 1651 51st St, Sacramento, CA 95819-4503 | 2015-02-12 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95841 |
Please comment or provide details below to improve the information on KELLY LUSE.
| 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.