MS. CASSIE MARIE HODGIN (NPI# 1174944169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174944169 |
| Entity Type | Individual |
| Full Name | MS. CASSIE MARIE HODGIN |
| Credential | ATC |
| Practice Address |
1455 Colorado St Bohler Athletic Complex M4 Pullman WA 99164 |
| Mailing Address |
Bohler Athletic Complex M4 P.o. Box 641602 Pullman WA 99164-1602 |
| Practice Telephone | 5093350912 |
| Practice Fax Number | 5093354729 |
| Mailing Telephone | 5093350912 |
| Mailing Fax Number | 5093354729 |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A1 60407811 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1455 COLORADO ST BOHLER ATHLETIC COMPLEX M4 |
| City | PULLMAN |
| State | WA |
| Zip Code | 99164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023422177 | Jaimie Lynn Hoskins | Specialist/Technologist | 1455 Colorado St, Bohler Athletic Complex M4, Pullman, WA 99164-0001 | 2014-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952837494 | Andrew Mutnan | Specialist/Technologist | 1547 Ne Colorado Street, Pullman, WA 99164 | 2017-05-03 |
| 1861866535 | Washington State University | Psychologist | 305 Ne Troy Mall, Pullman, WA 99164 | 2015-11-18 |
| 1629364062 | Brenda Kay Deal Bye | Psychiatry & Neurology | Washington State University 1125 Se Washington St, Pullman, WA 99164 | 2011-06-23 |
| 1750914339 | Kalee Kennedy | Specialist/Technologist | Washington State University, 160 Cleveland Hall 1155 College Ave, Pullman, WA 99164 | 2020-02-21 |
| 1942541859 | Abby Myers Howard | Physician Assistant | 1125 Se Washington Street, Po Box 642302, Pullman, WA 99164 | 2013-03-04 |
| 1235490038 | Blake Cooper Corcoran | Family Medicine | 1125 Se Washington St., Pullman, WA 99164 | 2012-06-07 |
| 1417261934 | Kyrsten E Stoops | Family Medicine | 1125 Se Washington St, Pullman, WA 99164 | 2010-07-27 |
| 1104071752 | Pam Spens | Nurse Practitioner | 1125 Se Washington St, Pullman, WA 99164 | 2008-11-24 |
| 1700958493 | Petrina E Gavrilis | Nurse Practitioner | 1125 Se Washington St., Pullman, WA 99164 | 2006-11-15 |
| 1164039079 | Jalyn Rutledge | Specialist/Technologist | Bohler Athletic Complex Cougar Way - Wsu, Pullman, WA 99164-0001 | 2020-09-24 |
| Find all providers in zip 99164 | ||||
| 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 |
|---|---|---|---|---|
| 1265049902 | Erin L Rose | Specialist/Technologist | 510 Nw Larry St, Pullman, WA 99163-3584 | 2020-09-27 |
| 1164039079 | Jalyn Rutledge | Specialist/Technologist | Bohler Athletic Complex Cougar Way - Wsu, Pullman, WA 99164-0001 | 2020-09-24 |
| 1801418504 | Savannah Horning | Specialist/Technologist | Bohler Athletic Complex Room M4, Pullman, WA 99164-0001 | 2020-05-15 |
| 1003445255 | Jennifer Beattie | Specialist/Technologist | 1360 Cougar Way, Pullman, WA 99163 | 2020-04-08 |
| 1922632967 | Carlie Jean Lubbesmeyer | Specialist/Technologist | 1815 Wilson Road, Pullman, WA 99163-9916 | 2020-02-28 |
| 1992359079 | Logan Dean | Specialist/Technologist | 2335 Nw Ridgeline Dr, Pullman, WA 99163-5117 | 2019-07-28 |
| 1467006544 | Kaden Ray Hersel | Specialist/Technologist | 2115 Ne Westwood Dr Apt D, Pullman, WA 99163-5384 | 2019-07-28 |
| 1346894425 | Kristyn Regan Young | Specialist/Technologist | 1405 Ne Merman Dr Apt Sb322, Pullman, WA 99163-5059 | 2019-07-28 |
| 1285288365 | Hailey Belle Chufar | Specialist/Technologist | 910 Ne Providence Ct Apt H202, Pullman, WA 99163-4655 | 2019-07-28 |
| 1801440987 | John Burton | Specialist/Technologist | 1880 Ne Terre View Dr Unit E318, Pullman, WA 99163-5909 | 2019-07-28 |
| Find all providers in PULLMAN | ||||
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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.