KEVIN PULLYBLANK (NPI# 1114303245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114303245 |
| Entity Type | Individual |
| Full Name | KEVIN PULLYBLANK |
| Credential | AT |
| Practice Address |
3193 Jane St Caledonia NY 14423-1024 |
| Practice Telephone | 5859449277 |
| Mailing Telephone | 5859449277 |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
004450 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3193 JANE ST |
| City | CALEDONIA |
| State | NY |
| Zip Code | 14423-1024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396917944 | Sasha N Nelson | Internal Medicine | 3350 Brown Rd, Caledonia, NY 14423 | 2008-03-24 |
| 1992840037 | Laurence Phillip Schweichler | Dentist | 3144 Church St, Caledonia, NY 14423-1013 | 2007-02-20 |
| 1851448997 | Caledonia Mumford Central School District | Local Education Agency (LEA) | 99 North St, Caledonia, NY 14423-1065 | 2007-01-04 |
| 1689978207 | Melanie Erin Tresco | Speech-Language Pathologist | 99 North St, Caledonia, NY 14423-1065 | 2010-12-23 |
| 1053654962 | Georgene E Rosengrant | Registered Nurse | 294 Grand Ave, Caledonia, NY 14423-1104 | 2013-03-28 |
| 1174963938 | Jessica Anna Marriam | Licensed Practical Nurse | 305 Leicester St, Caledonia, NY 14423-1205 | 2013-06-26 |
| 1215359138 | Kristina M Smith Wolski | Registered Nurse | 2957 Main St, Caledonia, NY 14423-1215 | 2014-01-11 |
| 1477612471 | Milex Drug Inc | Pharmacy | 3130 Main St, Caledonia, NY 14423-1218 | 2006-12-06 |
| 1811019623 | Mary Ann Hallenbeck | Pharmacist | 3130 Main St, Caledonia, NY 14423-1218 | 2007-04-04 |
| 1538292297 | Joel Robert Begert | Pharmacist | 3130 Main St, Caledonia, NY 14423-1218 | 2007-03-13 |
| Find all providers in zip 14423 | ||||
| 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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|---|---|---|---|---|
| 1255930962 | Benjamin Foddrill | Specialist/Technologist | 7380 Clearview Dr, Caledonia, MI 49316-9309 | 2020-10-22 |
| 1639691439 | Kaycee Lee | Specialist/Technologist | 9028 N Rodgers Ct Se Ste J, Caledonia, MI 49316-7786 | 2017-07-13 |
| 1659741353 | Brett Martin Knoop | Specialist/Technologist | 9050 Kraft Ave Se, Caledonia, MI 49316-7304 | 2015-10-07 |
| 1306215835 | Grant Panzella | Specialist/Technologist | 11917 Lerwick Rd, Caledonia, IL 61011-9781 | 2015-09-15 |
| 1760807937 | Kaitlin Adams | Specialist/Technologist | 7580 Bridlewood Rd, Caledonia, IL 61011-9013 | 2014-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779309 | Jonathan Edwards | Specialist/Technologist | 39 Monty St, Plattsburgh, NY 12901-3702 | 2020-10-30 |
| 1245830207 | Skyler Lauren Cirillo | Specialist/Technologist | 1000 Hempstead Turnpike, Hempstead, NY 11549-0001 | 2020-10-29 |
| 1790384410 | Gina Siracusano | Specialist/Technologist | 630 Mastic Rd Ste 4, Mastic Beach, NY 11951-1020 | 2020-10-23 |
| 1134728504 | Corinne Edwards | Specialist/Technologist | 3606 Nutt Rd, Jamestown, NY 14701-9432 | 2020-10-18 |
| 1720687163 | Theresa A Trump | Specialist/Technologist | 7 Mapleline Rd, Ballston Lake, NY 12019-1589 | 2020-10-17 |
| 1235738667 | Erica Michalski | Specialist/Technologist | 157 Hillpine Rd, Cheektowaga, NY 14227-2261 | 2020-10-17 |
| 1396344743 | Jared Russom | Specialist/Technologist | 13 Brookview Ave., Delmar, NY 12054 | 2020-10-17 |
| 1720686231 | Leighann Buzzard | Specialist/Technologist | 277 Forbes Ave, Tonawanda, NY 14150-4705 | 2020-10-16 |
| 1861090367 | Jake Savino | Specialist/Technologist | 185 Oak Ave, Staten Island, NY 10306-4002 | 2020-10-15 |
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
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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.