JESSICA KENDALL (NPI# 1194048736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194048736 |
| Entity Type | Individual |
| Full Name | JESSICA KENDALL |
| Credential | ATC, LAT |
| Practice Address |
579 Burcale Rd Myrtle Beach SC 29579-8329 |
| Mailing Address |
28 Hammond Rd Falmouth ME 04105-1910 |
| Practice Telephone | 8012438901 |
| Mailing Telephone | 8012438901 |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1124 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
67110614810 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689174989 | Jessica Lynn Kendall | Nurse Practitioner | 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 | 2018-02-14 |
| 1851757876 | Jessica Holder Kendall | Physical Therapist | 1130d Snow Bridge Ln, Kernersville, NC 27284-8411 | 2016-01-06 |
| Street Address |
579 BURCALE RD |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29579-8329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
| 1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
| 1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
| 1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
| 1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
| 1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
| 1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
| 1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
| 1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
| 1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
| Find all providers in zip 29579 | ||||
| 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 |
|---|---|---|---|---|
| 1114493970 | Collin Scott Lee | Specialist/Technologist | 3870 Palmetto St, Myrtle Beach, SC 29579-7029 | 2018-10-19 |
| 1114429867 | Michelle Austin Rawlyk | Specialist/Technologist | 5310 N Ocean Blvd Unit 501, Myrtle Beach, SC 29577-2531 | 2018-03-07 |
| 1164942249 | Erin Christ | Specialist/Technologist | 4871 Bermuda Way N, Myrtle Beach, SC 29577-5430 | 2017-06-21 |
| 1578019089 | Katelyn Pena | Specialist/Technologist | 4028 Fairway Lakes Dr, Myrtle Beach, SC 29577-5925 | 2016-08-26 |
| 1902265903 | Kary-anne Chiarizio | Specialist/Technologist | 3814 Maypop Cir, Unit 203, Myrtle Beach, SC 29588-1409 | 2016-02-18 |
| 1366809014 | Laurel Smoak | Specialist/Technologist | 455 Sunnehanna Dr Unit 230, Myrtle Beach, SC 29588-5397 | 2016-01-26 |
| 1164810057 | Rebecca Walters | Specialist/Technologist | 27 Smith Blvd, Myrtle Beach, SC 29588-6096 | 2014-12-31 |
| 1720219728 | Andrea Lee Sulewski | Specialist/Technologist | 3302 Robert Grissom Pkwy, Myrtle Beach, SC 29577-6401 | 2009-08-07 |
| 1487636510 | Jason Allen Keesee | Specialist/Technologist | 4900 Socastee Blvd, Myrtle Beach, SC 29588-7221 | 2005-11-15 |
| 1326031758 | Meredith Marie Duganich | Specialist/Technologist | 700 Gardner Lacy Rd, Myrtle Beach, SC 29579-0915 | 2005-08-31 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29579 |
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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.