JACQUELYN M HEPHNER (NPI# 1104218106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104218106 |
| Entity Type | Individual |
| Full Name | JACQUELYN M HEPHNER |
| Other Name | JACQUELYN M BORDA |
| Credential | M.ED, LAT, ATC |
| Practice Address |
104 Richland Dr Youngsville NC 27596-9274 |
| Practice Telephone | 9376541414 |
| Mailing Telephone | 9376541414 |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2015-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1980 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
104 RICHLAND DR |
| City | YOUNGSVILLE |
| State | NC |
| Zip Code | 27596-9274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144879313 | Harp Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 12339 Wake Union Church Rd Ste 108, Wake Forest, NC 27596 | 2019-09-10 |
| 1326560806 | Nirali Patel | Pharmacist | 1190 Us Hwy 1n, Youngsville, NC 27596 | 2017-07-17 |
| 1790109577 | Riphen Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 203 Blue Heron Drive, Youngsville, NC 27596 | 2014-02-13 |
| 1831524768 | Janice D Clark, Dds, Pa | Dentist | 680 Us Hwy 1 N, Suite 500, Youngsville, NC 27596 | 2013-09-11 |
| 1720372733 | Sherri Culbertson | Pharmacist | 1190 Us Hwy 1 North, Youngsville, NC 27596 | 2011-06-07 |
| 1326368390 | Trg Health Care Systems LLC | Social Worker | 112 Wheaton Ave, Suite B, Youngsville, NC 27596 | 2010-06-01 |
| 1932250065 | Catherine Grace Busam | Counselor | 90 Wheaton Dr, Youngsville, NC 27596 | 2007-01-16 |
| 1316022700 | Emmett Smoak Ackermon Jr. | Dentist | 66 Wheaton Ave, Youngsville, NC 27596 | 2006-10-26 |
| 1750323960 | Matthew Mullen | Specialist | 700 Us 1 Hwy Ste 100, Youngsville, NC 27596 | 2006-06-12 |
| 1992074314 | Trg Health Care Systems LLC | Community/Behavioral Health | 112 Wheaton Ave, Suite B, Youngsville, NC 27596 | 2011-12-14 |
| Find all providers in zip 27596 | ||||
| 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] |
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|---|---|---|---|---|
| 1932725975 | Byron Daigle | Specialist/Technologist | 1800 Chemin Metairie Pkwy, Youngsville, LA 70592-5586 | 2020-06-24 |
| 1962976993 | Sydney Alise Mann | Specialist/Technologist | 201 Teakwood Dr, Youngsville, LA 70592-5224 | 2019-01-12 |
| 1366075962 | Emily H Ferguson | Specialist/Technologist | 108 School St, Youngsville, LA 70592-5475 | 2020-02-21 |
| 1861983983 | Kennedie Ebersole | Specialist/Technologist | 248 E Main St, Youngsville, PA 16371-1174 | 2018-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617180 | Valerie Downing | Specialist/Technologist | 205 N Knoll Rd, Southern Pines, NC 28387-2936 | 2020-10-20 |
| 1174121701 | Samantha Hamilton | Specialist/Technologist | 183 Summer Creek Ln, Sanford, NC 27332-6285 | 2020-10-15 |
| 1417555236 | Mathew Ryan Dunn | Specialist/Technologist | 755 5th St Ne, Hickory, NC 28601 | 2020-10-14 |
| 1306444278 | Tania Michelle Wilcox | Specialist/Technologist | 702 Potenza Dr Apt A, Charlotte, NC 28262-4601 | 2020-10-13 |
| 1992302772 | Emily Elizabeth Macadam | Specialist/Technologist | 115 Blue Rd, Pinehurst, NC 28374-9125 | 2020-10-05 |
| 1407453640 | Asal Rahbar Lenz | Specialist/Technologist | 5140 Nw Cabarrus Dr, Concord, NC 28027-7624 | 2020-10-01 |
| 1003423880 | Amber Simerly Magliocca | Specialist/Technologist | 410 New Bridge St Ste 7b, Jacksonville, NC 28540-4759 | 2020-09-25 |
| 1770199804 | Sandra Jean Evans | Specialist/Technologist | 405 Farintosh Valley Ln, Durham, NC 27703-8116 | 2020-09-23 |
| 1952916728 | Emily Savannah Holland | Specialist/Technologist | 1150 King's Hwy, Wilmington, NC 28409 | 2020-09-09 |
| 1962017798 | Kelby Rae Hurlocker | Specialist/Technologist | 500 Center Park Dr, Charlotte, NC 28217 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | YOUNGSVILLE |
| Zip Code | 27596 |
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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.