JEREMY ALLEN DIXON (NPI# 1215419759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215419759 |
| Entity Type | Individual |
| Full Name | JEREMY ALLEN DIXON |
| Credential | ATC |
| Practice Address |
150 Memorial Dr Kingwood WV 26537-1141 |
| Mailing Address |
49 Milford Ln Kingwood WV 26537-8310 |
| Practice Telephone | 3043291400 |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2018-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT001143 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154721470 | Jeremy Dixon | Physical Therapist | 2678 Cranston Ln, Duluth, GA 30096-4274 | 2014-08-25 |
| 1588796866 | Jeremy James Dixon | Dentist | 266 Purchase St, Rye, NY 10580-2127 | 2007-03-12 |
| Street Address |
150 MEMORIAL DR |
| City | KINGWOOD |
| State | WV |
| Zip Code | 26537-1141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254907 | Nancy Louise Jones | Physician Assistant | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2005-08-31 |
| 1356963300 | Brittany Elizabeth Shaffer | Registered Nurse | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-05-13 |
| 1265067128 | Katherine Barton | Occupational Therapist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-03-11 |
| 1265067177 | Ashley E Greene | Physical Therapist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-03-11 |
| 1891320354 | Garrett Dalton Simmons | Physical Therapist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-03-05 |
| 1568096824 | Ashley Ann Gardo | Speech-Language Pathologist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-02-26 |
| 1780239608 | Erin Marie Thomas | Specialist/Technologist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2019-08-07 |
| 1134693633 | Elise Roman | Occupational Therapist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2019-01-17 |
| 1265928162 | Terrie Lyn Roth | Nurse Practitioner | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2018-07-03 |
| 1275035107 | Courtney Layton | Nurse Practitioner | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2018-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702604 | Amanda Dawn Slaubaugh | Technician | 74 Alex Dr, Kingwood, WV 26537 | 2020-08-31 |
| 1306330345 | Kingwood Family Care, LLC | Clinic/Center | 17548 Veterans Memorial Highway, Suite D, Kingwood, WV 26537 | 2018-06-21 |
| 1336558089 | Nicholas Kyle | Physical Therapist | 421 Morgantown St., Kingwood, WV 26537 | 2014-08-07 |
| 1447666896 | Alicia Suzanne Helmick | Pharmacist | 220 W. Main St, Kingwood Pharmacy, Kingwood, WV 26537 | 2014-07-07 |
| 1083035133 | Carmen Sigley | Nurse Practitioner | 209 East Hight Str., Kingwood, WV 26537 | 2013-12-16 |
| 1386946002 | Molly Renee Dorian | Occupational Therapist | 300 Preston Drive, Kingwood, WV 26537 | 2010-12-01 |
| 1083830343 | Preston County Senior Citizens, Inc. | Home Health | 421 E. Main St., Kingwood, WV 26537 | 2007-04-17 |
| 1730305152 | Preston County Senior Citizens, Inc. | Home Health | 421 East Main St., Kingwood, WV 26537 | 2007-04-17 |
| 1629133806 | Kendra L Barker | Nurse Practitioner | 1343 N. Preston Highway, Preston Healthcare Services, LLC., Kingwood, WV 26537 | 2006-12-27 |
| 1821181132 | Every Bodys Chiropractic Pllc | Chiropractor | 425 E Main Street, Suite 418, Kingwood, WV 26537 | 2006-10-02 |
| Find all providers in zip 26537 | ||||
| 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 |
|---|---|---|---|---|
| 1447791439 | Ashlyne Paige Vineyard | Specialist/Technologist | 4010 Quiet Glade Ct, Kingwood, TX 77345-1248 | 2017-03-10 |
| 1487084182 | Jonathan Ghazal | Specialist/Technologist | 3403 Any Way, Kingwood, TX 77339 | 2013-11-15 |
| 1457638355 | Cynthia Troncoso | Specialist/Technologist | 21577 Duke Alexander Dr, Kingwood, TX 77339-1762 | 2011-11-07 |
| 1477526770 | Rob D Knepper | Specialist/Technologist | 3507 Deerbrook Dr, Kingwood, TX 77339-2632 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215693 | Linda B. Bell | Specialist/Technologist | 44 Europa Way, Martinsburg, WV 25405-1436 | 2020-11-02 |
| 1609482629 | Cory Tyler Donley | Specialist/Technologist | 2648 Main St Apt 8, Hurricane, WV 25526-1439 | 2020-09-16 |
| 1215542121 | Gary E Mcilvain | Specialist/Technologist | 1 John Marshall Drive Gullickson Hall 1, Huntington, WV 25755-0001 | 2020-09-09 |
| 1417588765 | Yasmin Neve Mosby | Specialist/Technologist | 1000 Vermillion St # C417, Athens, WV 24712-9027 | 2020-01-27 |
| 1255978458 | Katherine Elizabeth Bryant | Specialist/Technologist | 306 Dawn St, Scott Depot, WV 25560-9014 | 2019-12-06 |
| 1093352296 | Jayde Shaianne Vanriper | Specialist/Technologist | 102 Birch Ln, Morgantown, WV 26505-2509 | 2019-12-06 |
| 1992342190 | Brittney Justine Demarco | Specialist/Technologist | 182 Bronte Ave, Inwood, WV 25428-4390 | 2019-12-06 |
| 1578100780 | Brandon Alfred Akers | Specialist/Technologist | 1216 Morgantown Ave, Fairmont, WV 26554-4504 | 2019-12-06 |
| 1801433008 | Kailee Selders | Specialist/Technologist | 1111 Valley View Ave Trlr 12, Morgantown, WV 26505-3682 | 2019-12-06 |
| 1083250328 | Razhane Kelecce Kelecce Nicole Andrews | Specialist/Technologist | 209 19th St Apt 15, Huntington, WV 25703-1145 | 2019-11-21 |
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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.