CAROLINE ROSE PETTIJOHN (NPI# 1134536683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134536683 |
| Entity Type | Individual |
| Full Name | CAROLINE ROSE PETTIJOHN |
| Other Name | CAROLINE ROSE WILLIAMS |
| Credential | ATC |
| Practice Address |
8600 N Hickory St Apt 512 Kansas City MO 64155-4103 |
| Practice Telephone | 3146081112 |
| Mailing Telephone | 3146081112 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1769 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8600 N HICKORY ST APT 512 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64155-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104475383 | Margaret A Shetley | Technician | 9023 Nw Anglia Rd, Kansas City, MO 64155 | 2019-09-10 |
| 1477031540 | Abby Pearson | Massage Therapist | 190 Ne 90th Street, Suite 16, Kansas City, MO 64155 | 2018-08-01 |
| 1619408291 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1600 Nw 88th St, Kansas City, MO 64155 | 2017-03-24 |
| 1013322262 | Ryan Bland | Dentist | 9241 North Oak Trafficway, Kansas City, MO 64155 | 2014-06-26 |
| 1134540289 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 10210 N. Oak Trafficway, Suite 100-300, Kansas City, MO 64155 | 2013-12-16 |
| 1366875718 | Staley Dental Arts, LLC | Dentist | 506 Ne 107th Street, Kansas City, MO 64155 | 2013-08-20 |
| 1902137433 | Gary D Cooper | Internal Medicine | 1501 Ne 98th St, Kansas City, MO 64155 | 2010-01-22 |
| 1780845305 | Heather Jean Malone | Pediatrics | 8781 N. Platte Purchase Drive, Kansas City, MO 64155 | 2008-06-17 |
| 1639390370 | John Michael Dicapo | Physical Therapist | 1110 Ne 85 Ct, Kansas City, MO 64155 | 2007-05-01 |
| 1467502021 | Laurie D Riddell | Pediatrics | 8781 N Platte Purchase Dr, Kansas City, MO 64155 | 2007-01-12 |
| Find all providers in zip 64155 | ||||
| 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 |
|---|---|---|---|---|
| 1073127932 | Chet Brian North | Specialist/Technologist | 1913 Pinnacle Way, Kansas City, KS 66111-7100 | 2020-09-08 |
| 1275144891 | Tiffany Hallacy | Specialist/Technologist | 5014 Walnut St Apt D, Kansas City, MO 64112-2641 | 2020-08-17 |
| 1942822606 | Rachel Suzanne Allen | Specialist/Technologist | 3018 S 65th St, Kansas City, KS 66106-5210 | 2020-05-15 |
| 1073177804 | Estelle Louise Brooks | Specialist/Technologist | 7020 Ewing Ave, Kansas City, MO 64133-5535 | 2019-04-26 |
| 1588128565 | Amanda Patrice Calfas | Specialist/Technologist | 5815 Ne 48th St, Kansas City, MO 64119-3899 | 2019-01-24 |
| 1801361316 | Clayton Cloud | Specialist/Technologist | 5030 Holmes Street, Kansas City, MO 64110 | 2018-10-11 |
| 1902393622 | Jessica Mcilhenney | Specialist/Technologist | 3716 Ne 46th Ter, Kansas City, MO 64117-1248 | 2018-04-18 |
| 1992205819 | Andrew Parker | Specialist/Technologist | 2800 Rock Creek Pkwy, Kansas City, MO 64117-2521 | 2018-02-16 |
| 1710439104 | Megan Hampel | Specialist/Technologist | 207 W 97th St, Kansas City, MO 64114-4042 | 2016-11-01 |
| 1861949794 | Jared Sheets | Specialist/Technologist | 8516 Ne 99th Ter, Kansas City, MO 64157-7829 | 2016-09-08 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64155 |
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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.