MR. JEFFREY B. TRUDO (NPI# 1225558794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225558794 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY B. TRUDO |
| Credential | LAT, ATC |
| Practice Address |
492 East Mcconnell Drive Flagstaff AZ 86011 |
| Mailing Address |
1000 W Forest Meadows St Apt 154 Flagstaff AZ 86001-2912 |
| Practice Telephone | 9285234151 |
| Practice Fax Number | 9285238464 |
| Mailing Telephone | 8028251667 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1515 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
492 EAST MCCONNELL DRIVE |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376911925 | Np Fromhome, LLC | Nurse Practitioner | 1016 W. University Ave, Suite 206, Flagstaff, AZ 86011 | 2015-09-11 |
| 1902274772 | Staci Mccauley | Specialist/Technologist | 912 Riordan Ranch Rd, Bldg 27a Rm 171, Flagstaff, AZ 86011 | 2015-09-09 |
| 1972118461 | Shanna Rae Begay | Student in an Organized Health Care Education/Training Program | 208 E Pine Knoll Drive Room 215 Building 66, Flagstaff, AZ 86011-0001 | 2020-09-10 |
| 1417560608 | Nicholette Congdon | Dental Hygienist | 208 E Knoles Drive, Flagstaff, AZ 86011-0001 | 2020-08-26 |
| 1447863881 | Nina Hoover | Student in an Organized Health Care Education/Training Program | 208 E Pine Knoll Drive, Flagstaff, AZ 86011-0001 | 2020-08-25 |
| 1477028314 | Northern Arizona University | Social Worker | Building 47 A South San Francisco St, Flagstaff, AZ 86011-0001 | 2018-10-08 |
| 1003315110 | Tarang Kumar Jain | Physical Therapist | 208 Pine Knoll Dr Bldg 66, Flagstaff, AZ 86011-0001 | 2018-02-03 |
| 1629581814 | Northern Arizona University | Speech-Language Pathologist | 912 Riordan Rd Bldg 27 A, Flagstaff, AZ 86011-0001 | 2017-11-09 |
| 1659519270 | Kathleen Jodell Ganley | Physical Therapist | 208 Pine Knoll Dr Bldg 66 Rm 103, Flagstaff, AZ 86011-0001 | 2009-02-04 |
| 1235300153 | Emi Isaki | Speech-Language Pathologist | 208 W Pine Knoll Dr, Flagstaff, AZ 86011-0001 | 2008-03-19 |
| Find all providers in zip 86011 | ||||
| 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 |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1225637317 | Alexsys Cameran Stroh | Specialist/Technologist | 1349 S Burlington St, Flagstaff, AZ 86001-2446 | 2020-10-20 |
| 1497316327 | Kaylee Romo | Specialist/Technologist | 2291 W Alaska Ave, Flagstaff, AZ 86001-8715 | 2019-06-21 |
| 1083179691 | Gabriel Gaudreau | Specialist/Technologist | 305 E Mcconnell Dr Apt 4305, Flagstaff, AZ 86001-6554 | 2019-02-07 |
| 1205391802 | Kento Anjima | Specialist/Technologist | 305 E Mcconnell Dr Apt 4305a, Flagstaff, AZ 86001-6554 | 2019-02-07 |
| 1730644329 | Gabrielle Cler | Specialist/Technologist | 997 E Pine Knoll Dr Apt 1432, Flagstaff, AZ 86001-3188 | 2019-02-07 |
| 1891250510 | Samantha Ann Carpenter | Specialist/Technologist | 2101 N San Francisco St, Flagstaff, AZ 86001-1388 | 2019-02-06 |
| 1770047540 | Amanda Guerrero | Specialist/Technologist | 700 S Blackbird Roost Apt 76, Flagstaff, AZ 86001-6247 | 2019-01-25 |
| 1497219331 | Nichole Michelle Reynolds | Specialist/Technologist | 2926 S Tex Ln, Flagstaff, AZ 86001-9173 | 2019-01-24 |
| 1790249712 | Sara Alaine Chatham | Specialist/Technologist | 212 S Beaver St Apt B, Flagstaff, AZ 86001-5654 | 2019-01-23 |
| Find all providers in FLAGSTAFF | ||||
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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.