MERCEDES ANGELIQUE HIMMONS (NPI# 1215275144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215275144 |
| Entity Type | Individual |
| Full Name | MERCEDES ANGELIQUE HIMMONS |
| Credential | MS, LAT, ATC |
| Practice Address |
1325 Sumneytown Pike Gwynedd Valley PA 19437 |
| Mailing Address |
2621 Roberts Ave Philadelphia PA 19129-1207 |
| Practice Telephone | 2156246840 |
| Mailing Telephone | 2679946161 |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2015-12-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT005400 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1325 SUMNEYTOWN PIKE |
| City | GWYNEDD VALLEY |
| State | PA |
| Zip Code | 19437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639144397 | Patricia A Edinger | Specialist/Technologist | 1325 Sumneytown Pike, Gwynedd Valley, PA 19437-0901 | 2006-02-17 |
| 1184074106 | Robert John Wright | Specialist/Technologist | 1325 Sumneytown Pike, Gwynedd Valley, PA 19437 | 2016-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376001099 | Dominique Noel Pacitti | Dietitian, Registered | 1618 Kings Mill Rd, Gwynedd Valley, PA 19437 | 2019-03-12 |
| 1124501895 | Kimberly Defrates | Chiropractor | 412 Plymouth Rd, 601, Gwynedd Valley, PA 19437 | 2018-09-10 |
| 1740771856 | Andrew Reynolds | Counselor | 2024 Cressman Road, Schwenksville, PA 19437 | 2018-05-24 |
| 1831645456 | Jacqueline Valerie Nedd | Registered Nurse | 1349 Sumneytown Pike, Lower Gynedd Township, Gwynedd Valey, PA 19437 | 2016-09-01 |
| 1194193656 | Allen Oliff | Internal Medicine | 1412 Florence Dr, Gwynedd Valley, PA 19437 | 2015-09-14 |
| 1194061895 | Kristyn Holmes | Community/Behavioral Health | 1120 Gypsy Hill Road, Gwynedd Valley, PA 19437 | 2012-12-27 |
| 1417251489 | Patrick Thomas Martin | Pediatrics | 213 Plymouth Road, Gwynedd Valley, PA 19437 | 2011-01-05 |
| 1073799425 | Robert Segal | Internal Medicine | 106 Hillcrest Lane, Gwynedd Valley, PA 19437-0264 | 2008-01-16 |
| 1275597874 | Jay K. Cherney | Psychologist | 709 Fox Hollow Road, Gwynedd Valley, PA 19437-0405 | 2006-04-12 |
| 1053569269 | Charles E Pappas | Plastic Surgery | 1357 Gypsy Hill Road, Gwynedd Valley, PA 19437-0519 | 2008-08-29 |
| Find all providers in zip 19437 | ||||
| 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 |
|---|---|---|---|---|
| 1639144397 | Patricia A Edinger | Specialist/Technologist | 1325 Sumneytown Pike, Gwynedd Valley, PA 19437-0901 | 2006-02-17 |
| 1184074106 | Robert John Wright | Specialist/Technologist | 1325 Sumneytown Pike, Gwynedd Valley, PA 19437 | 2016-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801642 | Allison Zilonis | Specialist/Technologist | 1923 Oak Hills Dr, Hanover, PA 17331-8522 | 2020-11-08 |
| 1487255642 | Siarra Grace Crum | Specialist/Technologist | 102 Bellwood Lane, Portage, PA 15946-1441 | 2020-11-04 |
| 1841891108 | Sydney Charles | Specialist/Technologist | 6325 Martins Mill Rd, Philadelphia, PA 19111-5321 | 2020-11-03 |
| 1871194308 | Alexander Hedrick | Specialist/Technologist | 33 Derstine Rd, Hatfield, PA 19440-3406 | 2020-11-02 |
| 1114528684 | Kelsey E Craig | Specialist/Technologist | 1856 N 16th St Apt 1r, Philadelphia, PA 19121-3301 | 2020-11-02 |
| 1740881333 | David Williams | Specialist/Technologist | 3100 W Thompson St Apt 42, Philadelphia, PA 19121-4485 | 2020-11-02 |
| 1992305940 | Alexandra Bossi | Specialist/Technologist | 450 N 18th St Apt 1032, Philadelphia, PA 19130-4198 | 2020-10-29 |
| 1043810021 | Randy W Dillon | Specialist/Technologist | 617c Chester Pike, Prospect Park, PA 19076-1506 | 2020-10-28 |
| 1871193086 | Troy Olsheski | Specialist/Technologist | 1970 Easton Tpke, Lake Ariel, PA 18436-4661 | 2020-10-27 |
| 1982203055 | Josiah Thompson | Specialist/Technologist | 20 Heather Rd, Feasterville Trevose, PA 19053-6320 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | GWYNEDD VALLEY |
| Zip Code | 19437 |
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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.