KAITLYN NICOLE JACKMAN


Address: 6320 Anderson St, Shawnee, KS 66226
Phone: 9132407194

KAITLYN NICOLE JACKMAN (NPI# 1124598792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124598792
Entity Type Individual
Full Name KAITLYN NICOLE JACKMAN
Practice Address 6320 Anderson St
Shawnee
KS 66226
Practice Telephone 9132407194
Mailing Telephone 9132407194
Enumeration Date 2018-11-27
Last Update Date 2018-11-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 6320 ANDERSON ST
City SHAWNEE
State KS
Zip Code 66226

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912436379 Alexandra Snyder Behavioral Analyst 23714 W. 54th Terr., Shawnee, KS 66226 2017-06-08
1992179741 Melanie Miller Nurse Practitioner 5211 Woodsonia Dr, Shawnee, KS 66226 2015-11-17
1639512395 Marjon Monfared Family Medicine 6815 Hilltop Rd Ste 100, Shawnee, KS 66226 2013-04-12
1063726941 Kinsey Rachel Honeyman Optometrist 5433 Roberts Street, Shawnee, KS 66226 2010-08-03
1093974529 Kansas Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 22700 W 55th Terrace, Shawnee, KS 66226 2008-06-09
1194811620 William Schmidt Physician Assistant 6850 Hilltop Road, Suite 170, Shawnee, KS 66226 2006-10-04
1205280450 Emily Meyer Dentist 6810 Silverheel St, Shawnee, KS 66226 2016-04-13
1013352384 Honeyman Investments LLC Eyewear Supplier (Equipment, not the service) 5433 Roberts Street, Shawnee, KS 66226 2013-05-01
1457429524 Steven D Rettinger Family Medicine 6815 Hilltop Rd, Ste 100, Shawnee, KS 66226 2006-11-30
1245308329 Philip Eugene Martin Family Medicine 6815 Hilltop Rd, Ste 100, Shawnee, KS 66226 2006-11-30
Find all providers in zip 66226

Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750863775 Dillon Gibson Specialist/Technologist Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 2018-09-06
1851802714 Jack Andrew Nation Specialist/Technologist 7500 Quivira Rd, Shawnee, KS 66216-3502 2017-10-18
1265887095 Rachel Howell Specialist/Technologist 2618 Ella Ln, Shawnee, OK 74804-5203 2016-04-29
1003168402 Clint Mcalister Specialist/Technologist 6324 Theden St, Shawnee, KS 66218-8975 2012-10-09
1205014289 Gina Kraft Specialist/Technologist 500 W University St, Obu Box 61235, Shawnee, OK 74804-2504 2008-02-01
1144388158 Alice Kathryn Downing Specialist/Technologist 8701 N Harrison, Shawnee, OK 74804-9560 2006-12-04
1891769642 Sherry S Doro Specialist/Technologist 16018 W 65th St, Shawnee, KS 66217-9302 2006-02-16
1073157699 Jordin Ashlee Brouhard Specialist/Technologist 13847 W 63rd St Ste 2, Shawnee, KS 66216-3800 2019-11-06
1124684147 Aaron Charles Mark Gilley Specialist/Technologist 500 W University St, Shawnee, OK 74804-2522 2019-05-15
1578971636 Benjamin Cleveland Specialist/Technologist 500 W University St, Shawnee, OK 74804-2522 2014-07-31
Find all providers in SHAWNEE

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City SHAWNEE
Zip Code 66226

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Dataset Information

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.

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