AUTUMN JORDAN (NPI# 1215586052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215586052 |
| Entity Type | Individual |
| Full Name | AUTUMN JORDAN |
| Credential | ATC |
| Practice Address |
3971 Lewisville High School Rd Richburg SC 29729-9029 |
| Mailing Address |
Po Box 73 Fort Lawn SC 29714-0073 |
| Practice Telephone | 8032469969 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255997748 | Autumn Jordan | Student in an Organized Health Care Education/Training Program | 3700 S Main St, Blacksburg, VA 24060-7017 | 2019-05-10 |
| Street Address |
3971 LEWISVILLE HIGH SCHOOL RD |
| City | RICHBURG |
| State | SC |
| Zip Code | 29729-9029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760881346 | Dana Marie Jacobs | Specialist/Technologist | 3971 Lewisville High School Rd, Richburg, SC 29729-9029 | 2014-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285162305 | Richburg Discount Pharmacy LLC | Pharmacy | 3191 Lancaster Hwy Ste H, Richburg, SC 29729 | 2017-06-02 |
| 1912060013 | Richard P Hughes | Preventive Medicine | 3909 Lancaster Hwy, Catowba Occupational Medicine, Richburg, SC 29729 | 2006-12-19 |
| 1275152373 | Richburg Fire Protection District | Ambulance | 225 N Main St, Richburg, SC 29729-8226 | 2020-04-09 |
| 1700884327 | Julie W Bowers | Nurse Practitioner | 3909 Lancaster Hwy, Richburg, SC 29729-9053 | 2005-07-08 |
| 1538778048 | Medical University Hospital Authority | Family Medicine | 3909 Lancaster Hwy, Richburg, SC 29729-9053 | 2020-07-30 |
| 1194037853 | Swapna Paladugu | Family Medicine | 3909 Lancaster Hwy, Richburg, SC 29729-9053 | 2010-07-10 |
| 1497918908 | Novant Medical Group Inc | Family Medicine | 3909 Lancaster Hwy, Richburg, SC 29729-9053 | 2008-07-03 |
| 1407394570 | Kira Robinson | Registered Nurse | 4374 Lancaster Hwy, Richburg, SC 29729-9060 | 2017-02-08 |
| 1285197699 | Cerner Health Connections, Inc | Clinic/Center | 4374 Lancaster Hwy, Richburg, SC 29729-9060 | 2019-04-11 |
| 1467747402 | Together Pharmacy LLC | Pharmacy | 3191 Lancaster Hwy Ste H, Richburg, SC 29729-9238 | 2011-06-17 |
| Find all providers in zip 29729 | ||||
| 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 |
|---|---|---|---|---|
| 1760881346 | Dana Marie Jacobs | Specialist/Technologist | 3971 Lewisville High School Rd, Richburg, SC 29729-9029 | 2014-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869563 | Brandon Lundin | Specialist/Technologist | 259 Dorchester Manor Blvd, North Charleston, SC 29420-8107 | 2020-10-21 |
| 1578160123 | Emma Faith Cornell | Specialist/Technologist | 9345 Blue House Rd, Apt 9302, Ladson, SC 29456-4093 | 2020-10-07 |
| 1932706587 | Devynn Galloway | Specialist/Technologist | 111 Springview Ln Apt 623, Summerville, SC 29485-8773 | 2020-10-07 |
| 1750988309 | Kirstyn Owen | Specialist/Technologist | 9345 Blue House Rd Apt 9302, Ladson, SC 29456-4093 | 2020-10-07 |
| 1902418106 | Kelli Brianna Adams | Specialist/Technologist | 12 He Mccracken Cir, Bluffton, SC 29910-5866 | 2020-08-19 |
| 1770195208 | Chely Mckoy | Specialist/Technologist | 126 Tidwell Ln, Swansea, SC 29160-8348 | 2020-08-17 |
| 1922610500 | Alexis Lauren Elrod | Specialist/Technologist | 907 Wesleyan Dr, Central, SC 29630-9748 | 2020-08-17 |
| 1356969737 | Skylar Brynn Hudgens-wallace | Specialist/Technologist | 208 Amelia Oaks Way, Columbia, SC 29209-1753 | 2020-07-11 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1235757162 | Jordan-lee Elizabeth Dobbins | Specialist/Technologist | 1011 Catawba Cir, Columbia, SC 29201-5252 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on AUTUMN JORDAN.
| 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.