MELANI KELLY (NPI# 1194195826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194195826 |
| Entity Type | Individual |
| Full Name | MELANI KELLY |
| Credential | ATC, LAT |
| Practice Address |
702 3rd Avenue Canyon TX 79015 |
| Mailing Address |
702 3rd Ave Canyon TX 79015-2607 |
| Practice Telephone | 3606235259 |
| Mailing Telephone | 3606235259 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT5735 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
702 3RD AVENUE |
| City | CANYON |
| State | TX |
| Zip Code | 79015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063846111 | Erin Ann Park | Physical Medicine & Rehabilitation | 907 23rd St., Canyon, TX 79015 | 2013-08-26 |
| 1003177197 | True Blessings LLC | Home Health | 1317 4th Avenue, Canyon, TX 79015 | 2012-06-05 |
| 1245460625 | Gloria Lewis | Nurse Practitioner | 1619 4th Ave, Canyon, TX 79015 | 2009-07-21 |
| 1376669861 | Assisted Living Concepts Inc | Assisted Living Facility | 2 Cottonwood Lane, Canyon, TX 79015 | 2007-03-22 |
| 1376568642 | D'aun Chrie Bowers | Emergency Medicine | 500 20th St, Canyon, TX 79015 | 2006-07-13 |
| 1760931497 | Kershen Health Services | Physical Therapist | 1613 4th Ave, Canyon, TX 79015 | 2016-09-22 |
| 1568730034 | Katherine Sheri Rogers | Physical Therapist | 15 Hospital Drive, Canyon, TX 79015 | 2011-12-12 |
| 1437273158 | Tommy W Brian I | Nurse Practitioner | 911 23rd St, Canyon, TX 79015 | 2007-03-19 |
| 1194377754 | Emily Collins | Occupational Therapist | 18 Case Ln, Canyon, TX 79015-1796 | 2019-07-14 |
| 1134249162 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 4 Idlewood Ln, Canyon, TX 79015-2027 | 2007-03-31 |
| Find all providers in zip 79015 | ||||
| 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 |
|---|---|---|---|---|
| 1851939342 | Liam Rettenmeier | Specialist/Technologist | 107 28th St Apt 13, Canyon, TX 79015-3130 | 2019-12-15 |
| 1295297273 | Niki L'shaun Brown | Specialist/Technologist | 2712 9th Ave Apt 4, Canyon, TX 79015-4701 | 2019-04-01 |
| 1568924546 | Ian Holacka | Specialist/Technologist | 2005 2nd Ave Unit B, Canyon, TX 79015-3052 | 2019-04-01 |
| 1518310879 | Joshua Ortiz | Specialist/Technologist | 2006 N 2nd Ave Apt C, Canyon, TX 79015-2518 | 2016-07-21 |
| 1790192102 | Tucker Eichhorn | Specialist/Technologist | 2819 Conner Dr, Canyon, TX 79015-4201 | 2014-07-17 |
| 1689014326 | Lorna Strong | Specialist/Technologist | 2342 Russell Long Blvd, Virgil Henson Activities Center 217, Canyon, TX 79016-0001 | 2013-06-26 |
| 1639394984 | Robby Douglas Rhodes | Specialist/Technologist | 60216 Wtamu, Canyon, TX 79016-0001 | 2007-04-13 |
| 1912410762 | Heather Ann Ferrell | Specialist/Technologist | 2620 Russel Long Blvd, Canyon, TX 79016-0001 | 2017-11-14 |
| 1669881017 | Jeffrey Case | Specialist/Technologist | 2501 4th Ave, Canyon, TX 79016-0001 | 2014-08-11 |
| 1346657749 | Todd Bowman | Specialist/Technologist | 1701 23rd St, Canyon, TX 79015-5316 | 2014-07-17 |
| Find all providers in CANYON | ||||
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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.