BRYNN HACKNEY (NPI# 1184114878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184114878 |
Entity Type | Individual |
Full Name | BRYNN HACKNEY |
Credential | ATC, LAT |
Practice Address |
600 S Smiley St O Fallon IL 62269-2316 |
Mailing Address |
660 Wild Horse Creek Dr Fairview Heights IL 62208-2049 |
Practice Telephone | 6186323507 |
Enumeration Date | 2018-05-17 |
Last Update Date | 2018-05-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096.004050 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
600 S SMILEY ST |
City | O FALLON |
State | IL |
Zip Code | 62269-2316 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184849952 | O'fallon Township High School Dist 203 | Local Education Agency (LEA) | 600 S Smiley St, O Fallon, IL 62269-2316 | 2007-04-16 |
1265957195 | Shelby Kay Thiems | Specialist/Technologist | 600 S Smiley St, O Fallon, IL 62269-2316 | 2017-08-11 |
1356772313 | Melissa Bursich | Speech-Language Pathologist | 600 S Smiley St, O Fallon, IL 62269-2316 | 2013-12-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
Find all providers in zip 62269 |
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 |
---|---|---|---|---|
1053964577 | Dahlia Ariel Dyson | Specialist/Technologist | 1352 Shelby Point Dr, O Fallon, MO 63366-7517 | 2019-07-23 |
1275000747 | Candice Justine Cherry-exely | Specialist/Technologist | 33 Spangle Way Dr, O Fallon, MO 63366-5525 | 2018-11-01 |
1760965347 | Megan Marie Carroll | Specialist/Technologist | 41 Tournament Tee Dr, O Fallon, MO 63368-9606 | 2018-09-10 |
1528501228 | Ryan Franklin | Specialist/Technologist | 42 Golden Aster Ct, O Fallon, MO 63368-9761 | 2016-11-29 |
1083012017 | Sarah Hall | Specialist/Technologist | 1533 Snowbird Ln, O Fallon, MO 63366-3214 | 2014-12-08 |
1891198131 | Jennifer Raisbeck | Specialist/Technologist | 1251 Turtle Creek Dr, O Fallon, MO 63366-5948 | 2014-10-01 |
1265957195 | Shelby Kay Thiems | Specialist/Technologist | 600 S Smiley St, O Fallon, IL 62269-2316 | 2017-08-11 |
1740684463 | Samantha Lee Fehlhafer | Specialist/Technologist | 2982 Highway K, O Fallon, MO 63368-7861 | 2014-10-09 |
1841693678 | Maggie Richardson | Specialist/Technologist | 1230 Tom Ginnever Ave, O Fallon, MO 63366-4406 | 2014-10-07 |
1861513756 | Kevin Crawmer | Specialist/Technologist | 2982 Highway K, O Fallon, MO 63368-7861 | 2007-04-02 |
Find all providers in O FALLON |
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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.