STEPHANIE LYNN OWEN (NPI# 1245720382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245720382 |
| Entity Type | Individual |
| Full Name | STEPHANIE LYNN OWEN |
| Credential | MS, ATC, LAT |
| Practice Address |
2410 Susannah St Johnson City TN 37601-1748 |
| Mailing Address |
215 Rockingham Rd Apt 14 Johnson City TN 37615-4767 |
| Practice Telephone | 4232829011 |
| Practice Fax Number | 4292820035 |
| Mailing Telephone | 2769716806 |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2076 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 875 Larry Neil Way, Kingsport, TN 376606368 | 4232829011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265511364 | Stephanie Owen | Counselor | 196 3rd St, Fond Du Lac, WI 54935-4418 | 2006-11-02 |
| 1184263105 | Stephanie Ann Owen | Nurse Practitioner | 9330 Broadway, Crown Point, IN 46307-9830 | 2019-12-23 |
| 1356904692 | Stephanie K Owen | Registered Nurse | 651 S Limestone St, Springfield, OH 45505-1965 | 2019-04-22 |
| 1558852756 | Stephanie Owen | Social Worker | 280 Merrimack St Ste 400, Lawrence, MA 01843-1787 | 2018-05-23 |
| 1497276257 | Stephanie Owen | Nurse Practitioner | 8111 S Emerson Ave, Indianapolis, IN 46237-8601 | 2017-07-03 |
| 1972845238 | Stephanie Owen | Emergency Medicine | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2013-03-25 |
| 1538422399 | Stephanie Owen | Occupational Therapy Assistant | 12124 High Tech Ave, Ste 300, Orlando, FL 32817-8373 | 2012-06-18 |
| 1073840567 | Stephanie Nicole Owen | Counselor | 2425 W Pratt Blvd, Chicago, IL 60645-4665 | 2009-11-04 |
| 1053570622 | Stephanie Amy Owen | Marriage & Family Therapist | 1161 Bay Blvd Ste B, Chula Vista, CA 91911-2670 | 2008-06-09 |
| Street Address |
2410 SUSANNAH ST |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-1748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346223948 | Joseph R Hurst | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601-1748 | 2005-11-28 |
| 1760098669 | Justin Alan Sylvester | Physical Therapy Assistant | 2410 Susannah St, Johnson City, TN 37601-1748 | 2020-09-17 |
| 1316562549 | Frankie Tidwell | Nurse Practitioner | 2410 Susannah St, Johnson City, TN 37601-1748 | 2020-06-12 |
| 1861025744 | Jalen Bridwell | Physical Therapist | 2410 Susannah St, Johnson City, TN 37601-1748 | 2020-02-19 |
| 1336786383 | Andrew Blythe | Physician Assistant | 2410 Susannah St, Johnson City, TN 37601-1748 | 2019-12-09 |
| 1659921294 | Emilee Grace Dishner | Physician Assistant | 2410 Susannah St, Johnson City, TN 37601-1748 | 2019-09-16 |
| 1154889285 | Taylor N Harmon | Physical Therapist | 2410 Susannah St, Johnson City, TN 37601-1748 | 2019-03-07 |
| 1407329246 | Mariah M Wagner | Physician Assistant | 2410 Susannah St, Johnson City, TN 37601-1748 | 2019-01-04 |
| 1497237416 | Micah A Mcfaddin | Physician Assistant | 2410 Susannah St, Johnson City, TN 37601-1748 | 2018-09-06 |
| 1437565074 | Alan J Aiken | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601-1748 | 2014-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| 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 |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1326682493 | Yoshihiro Kojima | Specialist/Technologist | 127 W John Robert Bill Dr, Johnson City, TN 37614 | 2019-11-01 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1316452576 | Christopher Paul Winkle | Specialist/Technologist | Po Box 70634, Johnson City, TN 37614-1702 | 2017-12-11 |
| 1891725172 | Brian David Johnston | Specialist/Technologist | W127 Memorial Center, Johnson City, TN 37614 | 2006-07-03 |
| 1922606029 | Brian Hebbard | Specialist/Technologist | 7 Union St, Johnson City, NY 13790-2926 | 2020-10-12 |
| 1548805807 | Nathan Benjamin Barger | Specialist/Technologist | 1276 Gilbreath Dr, Johnson City, TN 37614-6503 | 2019-11-11 |
| 1588209852 | Caitlyn Harter | Specialist/Technologist | 1276 Gilbreath Dr, Johnson City, TN 37614-6503 | 2019-11-11 |
| 1578107280 | Brett Lewis | Specialist/Technologist | 1276 Gilbreath Dr, Johnson City, TN 37614-6503 | 2019-11-05 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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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.