MR. GLEN ADAM RICHARDSON (NPI# 1285814657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285814657 |
| Entity Type | Individual |
| Full Name | MR. GLEN ADAM RICHARDSON |
| Credential | ATC |
| Practice Address |
320 Loretto Rd Spring View Rehabilitation Services Lebanon KY 40033-1300 |
| Practice Telephone | 2706925130 |
| Mailing Telephone | 2706925130 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT501 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
320 LORETTO RD SPRING VIEW REHABILITATION SERVICES |
| City | LEBANON |
| State | KY |
| Zip Code | 40033-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497747919 | James Adam Montgomery | Anesthesiology | 320 Loretto Rd, Lebanon, KY 40033-1300 | 2005-08-19 |
| 1558632414 | Deborah L. Doyle | Nurse Anesthetist, Certified Registered | 320 Loretto Rd, Lebanon, KY 40033-1300 | 2012-01-24 |
| 1184866030 | Kevin J. Croce, Md | Radiology | 320 Loretto Rd, Lebanon, KY 40033-1300 | 2009-03-24 |
| 1427275098 | Walter David Montgomery | Emergency Medicine | 320 Loretto Rd, Lebanon, KY 40033 | 2007-04-18 |
| 1992849822 | Spring View Hospital LLC | Internal Medicine | 320 Loretto Rd, Lebanon, KY 40033-1300 | 2007-02-16 |
| 1083757348 | Spring View Hospital LLC | Clinical Medical Laboratory | 320 Loretto Rd, Lebanon, KY 40033-1300 | 2007-02-15 |
| 1922165950 | Spring View Hospital LLC | Medicare Defined Swing Bed Unit | 320 Loretto Rd, Lebanon, KY 40033-1300 | 2007-01-02 |
| 1780746420 | Spring View Hospital LLC | General Acute Care Hospital | 320 Loretto Rd, Lebanon, KY 40033-1300 | 2006-12-15 |
| 1215099593 | Atam Abbi | Emergency Medicine | 320 Loretto Rd, Lebanon, KY 40033-1300 | 2006-12-14 |
| 1124062906 | Bluegrass Xray Psc | Radiology | 320 Loretto Rd, Lebanon, KY 40033-1300 | 2006-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538636311 | One Cross Health Clinic, Inc. | Clinic/Center | 305 Koehler Drive, Lebanon, KY 40033 | 2018-10-30 |
| 1467848952 | Kelly Renee Deatley | Family Medicine | 325 W Walnut St Ste 600, Lebanon, KY 40033 | 2015-04-10 |
| 1003204892 | Mmhh, LLC | Clinic/Center | 135 E. Martin Luther King Ave., Lebanon, KY 40033 | 2014-12-31 |
| 1194964510 | Gregory W. Schall, Do, Pllc | Family Medicine | 312 W High Street, Lebanon, KY 40033 | 2009-02-09 |
| 1780859553 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 2136 Campbellsville Road, Lebanon, KY 40033 | 2008-04-23 |
| 1144491234 | William Duley IIi | Dentist | 219 West Main St, Lebanon, KY 40033 | 2008-03-17 |
| 1891965927 | Dana Michelle Logsdon | Nurse Practitioner | 727 W. Main St., Lebanon, KY 40033 | 2008-03-05 |
| 1669523684 | The Childrens Clinic, Pllc. | Pediatrics | 420 Loretta Road, Lebanon, KY 40033 | 2007-01-16 |
| 1215022348 | Marion County Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 320 Loretto Road, Lebanon, KY 40033 | 2006-10-04 |
| 1568479426 | Daniel Earl Bailey Jr. | Specialist | 420 Loretto Rd, Suite 600, Lebanon, KY 40033 | 2006-08-02 |
| Find all providers in zip 40033 | ||||
| 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 |
|---|---|---|---|---|
| 1710524913 | Shyann Wallace | Specialist/Technologist | 1150 Harvest Dr, Lebanon, PA 17046-1574 | 2019-12-06 |
| 1154886414 | August Deshae Montgomery | Specialist/Technologist | 1 Cumberland Sq # 3046, Lebanon, TN 37087-3408 | 2019-01-31 |
| 1356854939 | Christian James Novy | Specialist/Technologist | 10913 Sylvan Vista Dr, Lebanon, IL 62254-2334 | 2017-11-06 |
| 1710401492 | Kenzlie Ann Westerfield | Specialist/Technologist | 613 Countryside Drive, Lebanon, IN 46052 | 2017-08-03 |
| 1174074454 | Kayla Strother | Specialist/Technologist | 321 Hoffmann Ave, Lebanon, OH 45036-1116 | 2016-10-20 |
| 1649727173 | Brandon Gibson | Specialist/Technologist | 226 Dickens Ct, Lebanon, OH 45036-8580 | 2016-09-01 |
| 1427407584 | Matthew Charles Wood | Specialist/Technologist | 946 Stone Ridge Ln, Lebanon, OH 45036-8530 | 2016-06-09 |
| 1144677006 | Heather Tobias | Specialist/Technologist | 950 Isabel Dr, Lebanon, PA 17042-7482 | 2016-05-20 |
| 1518311760 | Catherine Hays | Specialist/Technologist | 426 Deerfield Rd, Lebanon, OH 45036-2363 | 2016-04-13 |
| 1124490461 | Kayla Haston | Specialist/Technologist | 913 Claiborne Ln, Lebanon, IN 46052-3907 | 2015-10-27 |
| Find all providers in LEBANON | ||||
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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.