KAYLA MACINNIS (NPI# 1164815809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164815809 |
| Entity Type | Individual |
| Full Name | KAYLA MACINNIS |
| Credential | MS, ATC, EMT-B |
| Practice Address |
73 Southern Blvd Danbury CT 06810 |
| Mailing Address |
73 Southern Blvd Danbury CT 06810-7994 |
| Practice Telephone | 2037441510 |
| Mailing Telephone | 2037441510 |
| Mailing Fax Number | 2037441275 |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2019-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146N00000X | Emergency Medical Technician, Basic | 22885 | CT | Emergency Medical Service Providers |
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1084 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | NATIONAL ATHLETIC TRAINERS ASSOCIATION - BOARD OF CERTIFICATION | 2000018481 | 01 |
| CT | EMT-B | 22885 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 43 Lake Avenue Ext., Danbury, CT 06811 | 2038379063 | |
| 116 Danbury Rd Ste 5, New Milford, CT 067763442 | 9603547605 |
| Street Address |
73 SOUTHERN BLVD |
| City | DANBURY |
| State | CT |
| Zip Code | 06810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| Find all providers in zip 06810 | ||||
| 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 |
|---|---|---|---|---|
| 1558864074 | Rebecca E Bussell | Specialist/Technologist | 1 Autumn Dr, Danbury, CT 06811-2725 | 2018-03-11 |
| 1992213631 | Cynthia Felizardo | Specialist/Technologist | 62 Barnum Rd, Danbury, CT 06811-2938 | 2018-01-16 |
| 1053781476 | Stephanie Paynter | Specialist/Technologist | 83 Forty Acre Mountain Rd, Danbury, CT 06811-3359 | 2015-09-28 |
| 1336181916 | Ron Hutchins | Specialist/Technologist | 91 Miry Brook Rd, Danbury, CT 06810-7417 | 2006-06-11 |
| 1326524471 | Mckenzie Sara Miessau | Specialist/Technologist | 181 White St, Danbury, CT 06810-6826 | 2018-07-12 |
| 1144404583 | Keith E Deyo | Specialist/Technologist | 20 Germantown Rd, Danbury, CT 06810-5023 | 2007-12-20 |
| 1942336854 | Mark Fletter | Specialist/Technologist | 20 Germantown Rd, 102, Danbury, CT 06810-5023 | 2007-02-26 |
| 1073609863 | Philip J Struzzi | Specialist/Technologist | 181 White St, Danbury, CT 06810-6826 | 2006-10-05 |
| 1861583601 | Patrick Hull | Specialist/Technologist | 181 White St, Danbury, CT 06810-6826 | 2006-09-27 |
| 1487614160 | Peter Ackerman | Specialist/Technologist | 2 Riverview Dr, Danbury, CT 06810 | 2006-03-25 |
| Find all providers in DANBURY | ||||
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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.