MR. JOHN PHILLIP VARDIMAN (NPI# 1194742205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194742205 |
| Entity Type | Individual |
| Full Name | MR. JOHN PHILLIP VARDIMAN |
| Credential | ATC |
| Practice Address |
1301 Sunnyside Ave 161- D Robinson Gymnasium Lawrence KS 66045-7567 |
| Practice Telephone | 7858640709 |
| Mailing Telephone | 7858640709 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
00483 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728428 | John S Vardiman | Family Medicine | 2010 Dowlen Rd, Beaumont, TX 77706-2525 | 2005-05-31 |
| Street Address |
1301 SUNNYSIDE AVE 161- D ROBINSON GYMNASIUM |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66045-7567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477928174 | Kyle Swendson | Student in an Organized Health Care Education/Training Program | 1301 Sunnyside Ave, Room 104e, Lawrence, KS 66045-2924 | 2015-12-07 |
| 1194909473 | Dawn Marie Emerson | Specialist/Technologist | 1301 Sunnyside Ave, Robinson Room 161, Lawrence, KS 66045-7601 | 2007-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043235484 | Graig L Nickel | Family Medicine | 1200 Schwegler Drive, Ku Shs - Watkins Memorial Health Center, Lindsborg, KS 66045 | 2006-07-13 |
| 1265495261 | Joy R Murphy | Family Medicine | Watkins Health Services, 1200 Schwegler Dr., Lawrence, KS 66045 | 2006-04-10 |
| 1326505389 | Ryan Lee O'neil | Specialist/Technologist | 1615 Naismith Dr Lawrence Ks 66045, Lawrence, KS 66045-0001 | 2019-02-26 |
| 1508956301 | Lawrence M Magee | Family Medicine | Allen Fieldhouse, 1651 Naismith Dr., Lawrence, KS 66045-0001 | 2006-10-13 |
| 1154335586 | Alicia Ann Clair | Music Therapist | Memt448 Murphy Hall, 1530 Naismith Dr. University of Kansas, Lawrence, KS 66045-0001 | 2006-07-29 |
| 1992961932 | Lori A Shiflett | Nurse Practitioner | University of Kansas, 1200 Schwegler Dr, Lawrence, KS 66045-0001 | 2008-07-30 |
| 1609914720 | William Matt Gillispie | Speech-Language Pathologist | 1200 Sunnyside Ave., 2101 Haworth Hall, Lawrence, KS 66045-0667 | 2007-02-01 |
| 1588702682 | Jane R. Wegner | Speech-Language Pathologist | 1200 Sunnyside Ave, 2101 Haworth Hall, Lawrence, KS 66045-0667 | 2007-02-01 |
| 1902917727 | Eric B Atwood | Psychiatry & Neurology | 1200 Schwegler Dr Rm 2100, Lawrence, KS 66045-1963 | 2006-08-31 |
| 1184634966 | Thomas Stephen Krieshok | Psychologist | 1122 W Campus Rd, Room 621, Lawrence, KS 66045-3101 | 2006-08-08 |
| Find all providers in zip 66045 | ||||
| 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 |
|---|---|---|---|---|
| 1326505389 | Ryan Lee O'neil | Specialist/Technologist | 1615 Naismith Dr Lawrence Ks 66045, Lawrence, KS 66045-0001 | 2019-02-26 |
| 1558831529 | Brionna Ross | Specialist/Technologist | 527 California St Apt B4, Lawrence, KS 66044-1738 | 2018-12-03 |
| 1932684420 | Hillary Willson | Specialist/Technologist | 5100 W 6th St Apt M4, Lawrence, KS 66049-2596 | 2018-10-01 |
| 1164557591 | Zachary W Blaszak | Specialist/Technologist | 300 Hampshire St, Lawrence, MA 01841-3644 | 2007-02-23 |
| 1366462467 | William David Carr | Specialist/Technologist | 1301 Sunnyside Ave # 161, University of Kansas, Lawrence, KS 66045-7567 | 2006-07-20 |
| 1497772347 | Jennifer Lynn Volberding | Specialist/Technologist | 1651 Naismith Dr, Lawrence, KS 66045-7538 | 2006-07-16 |
| 1154357440 | Heidi Paula Matsakis | Specialist/Technologist | 2404 Stowe Dr, Lawrence, KS 66049-1866 | 2006-06-25 |
| 1538783428 | Samantha Thomas | Specialist/Technologist | 1651 Naismith Dr, Lawrence, KS 66045-4069 | 2020-06-05 |
| 1689218729 | Natalie Jo Deboer | Specialist/Technologist | 1112 W 6th St Ste 124, Lawrence, KS 66044-2249 | 2019-11-01 |
| 1952852865 | Jonathan Vincent | Specialist/Technologist | 1112 W 6th St Ste 124, Lawrence, KS 66044-2249 | 2016-10-17 |
| Find all providers in LAWRENCE | ||||
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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.