JAMIE WIGHTMAN (NPI# 1174931307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174931307 |
| Entity Type | Individual |
| Full Name | JAMIE WIGHTMAN |
| Practice Address |
7601 Preston Rd Ambulatory Care Pavillion, P3600 Plano TX 75024-3214 |
| Mailing Address |
2222 Welborn St Dallas TX 75219-3924 |
| Practice Telephone | 4693035000 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT3033 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7601 PRESTON RD AMBULATORY CARE PAVILLION, P3600 |
| City | PLANO |
| State | TX |
| Zip Code | 75024-3214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598789984 | University of Texas Southwestern Medical Center At Dallas | Ophthalmology | 7601 Preston Rd, Plano, TX 75024 | 2006-07-27 |
| 1023665684 | Lanchasica Alexander | Nurse Practitioner | 7601 Preston Rd, Plano, TX 75024-3214 | 2019-08-19 |
| 1043728389 | Jennifer Kieschnick | Physical Therapist | 7601 Preston Rd, Plano, TX 75024-3214 | 2018-01-22 |
| 1215448709 | Jasmine Ghannadpour | Psychologist | 7601 Preston Rd, Plano, TX 75024-3214 | 2017-10-24 |
| 1891236931 | Meredith Ulon | Social Worker | 7601 Preston Rd, Plano, TX 75024-3214 | 2017-03-08 |
| 1528514916 | Emily Holmes | Nurse Practitioner | 7601 Preston Rd, Plano, TX 75024-3214 | 2016-08-26 |
| 1639522253 | Andrea Wahlberg | Clinical Neuropsychologist | 7601 Preston Rd, Suite P4300, Plano, TX 75024-3214 | 2016-07-19 |
| 1821441304 | Christine Ellis | Nurse Practitioner | 7601 Preston Rd, Plano, TX 75024-3214 | 2016-07-19 |
| 1720440704 | Kayleigh Wiegers Mcbride | Pediatrics | 7601 Preston Rd, Plano, TX 75024-3214 | 2016-03-28 |
| 1982065546 | Matthias Marvin Manuel | Emergency Medicine | 7601 Preston Rd, Plano, TX 75024-3214 | 2016-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294605 | Seungeun Szczechowski | Specialist/Technologist, Other | 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 | 2020-04-20 |
| 1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
| 1902364581 | Bayada Home Health Care, Inc. | Home Health | 5851 Legacy Circle, Fl 6, Suite 6052, Plano, TX 75024 | 2019-03-04 |
| 1881168052 | Waking Up To Peace Solutions LLC | Counselor | 8105 Rasor Blvd, Ste 303, Plano, TX 75024 | 2019-01-21 |
| 1407325905 | Fresenius Medical Care Willow Bend, LLC | Clinic/Center | 6823 Communications Pkwy Bldg A, Plano, TX 75024 | 2018-11-14 |
| 1265933378 | Cody Jones | Physical Therapist | 7211 Preston Road, Plano, TX 75024 | 2018-02-23 |
| 1720587538 | Sol Medical Massage Inc | Massage Therapist | 4666 Mcdermott Rd Suite 100, Plano, TX 75024 | 2018-02-07 |
| 1447768726 | Thelma Franco | Counselor | 5151 Headquarters Dr Ste 155, Plano, TX 75024 | 2018-01-20 |
| Find all providers in zip 75024 | ||||
| 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 |
|---|---|---|---|---|
| 1508475450 | Charmaura D Henderson | Specialist/Technologist | 4421 Ridge Point Ln, Plano, TX 75024-7039 | 2020-07-27 |
| 1477188027 | Olivia Michelle Triplett | Specialist/Technologist | 6308 Windcrest Dr Apt 3126, Plano, TX 75024-3025 | 2020-03-04 |
| 1891325890 | Judy Kistler-robinson | Specialist/Technologist | 2609 Las Palmas Ln, Plano, TX 75075-2125 | 2020-01-19 |
| 1861053282 | Alexandra Langley Ward | Specialist/Technologist | 1021 Filmore Dr, Plano, TX 75025-2505 | 2019-06-26 |
| 1013474972 | Samantha Dworkin | Specialist/Technologist | 6600 Stadium Dr, Plano, TX 75023-2210 | 2019-02-27 |
| 1285198366 | Ronald Buchetto Jr. | Specialist/Technologist | 1517 Huron Trl, Plano, TX 75075-6825 | 2019-01-23 |
| 1164926044 | Melissa Brown | Specialist/Technologist | 2304 Choctaw Dr, Plano, TX 75093-3937 | 2018-03-23 |
| 1477074417 | Kearra Comer | Specialist/Technologist | 7013 Canyonbrook Dr, Plano, TX 75074 | 2017-06-29 |
| 1770004905 | Susan Smiley | Specialist/Technologist | 2904 Lemmontree Ln, Plano, TX 75074-4756 | 2017-06-28 |
| 1710434923 | Daniel Rosselli | Specialist/Technologist | 5737 Misted Breeze Dr, Plano, TX 75093-8535 | 2016-09-06 |
| Find all providers in PLANO | ||||
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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.