JASON MULHOLLAND (NPI# 1346233152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346233152 |
| Entity Type | Individual |
| Full Name | JASON MULHOLLAND |
| Credential | MS, ATC, CSCS |
| Practice Address |
602 S 42nd St Mount Vernon IL 62864-6264 |
| Mailing Address |
2885 County Road 214 Cape Girardeau MO 63701-9009 |
| Practice Telephone | 6182421100 |
| Practice Fax Number | 6182445147 |
| Mailing Telephone | 5733355805 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2004030999 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
602 S 42ND ST |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-6264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205455763 | Kerry Lynn Pitchford | Registered Nurse | 602 S 42nd St, Mount Vernon, IL 62864-6264 | 2020-04-14 |
| 1336656537 | Victoria Koch | Nurse Practitioner | 602 S 42nd St, Mount Vernon, IL 62864-6264 | 2018-01-09 |
| 1982123899 | Nicole Marie Lewis | Nurse Practitioner | 602 S 42nd St, Mount Vernon, IL 62864-6264 | 2017-09-12 |
| 1477697977 | Kristi Ann Brown | Physical Therapist | 602 S 42nd St, Mount Vernon, IL 62864-6264 | 2007-02-16 |
| 1376582999 | Sudeep Nair | Internal Medicine | 602 S 42nd St, Suite B, Mount Vernon, IL 62864-6264 | 2006-06-06 |
| 1942250287 | Jason Paul White | Physical Therapist | 602 S 42nd St, Mount Vernon, IL 62864-6264 | 2006-05-10 |
| 1750358578 | Tracy Hamon | Physical Therapist | 602 S 42nd St, Mount Vernon, IL 62864-6264 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| 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 |
|---|---|---|---|---|
| 1649704305 | Sarah Carson | Specialist/Technologist | 323 S 29th Pl, Mount Vernon, WA 98274-8929 | 2017-04-19 |
| 1427509215 | Karalyn Taylor Rhodeback | Specialist/Technologist | 11962 Sycamore Rd, Mount Vernon, OH 43050-8543 | 2016-10-17 |
| 1851756670 | Alexander J J Hale | Specialist/Technologist | 1010 Palisades Road Sw, Mount Vernon, IA 52314 | 2015-12-21 |
| 1790173441 | Colin Zuber | Specialist/Technologist | 4328 Lilac Ln, Mount Vernon, IL 62864-2114 | 2015-01-05 |
| 1639573249 | Sasha-gay Harris | Specialist/Technologist | 215 Brookside Ave, Mount Vernon, NY 10553-1803 | 2014-10-10 |
| 1225387418 | Kathryn Larko | Specialist/Technologist | 2818 Cherry St, Mount Vernon, IL 62864-2443 | 2012-09-04 |
| 1649489410 | Bryon Theron Ramos | Specialist/Technologist | 1129 Douglas St, Mount Vernon, IL 62864-5706 | 2007-05-21 |
| 1962576736 | John F Banaszak | Specialist/Technologist | 314 N 9th St, Mount Vernon, WA 98273-3327 | 2006-11-20 |
| 1558387712 | Jennifer M Chesnut | Specialist/Technologist | 20531 English Rd, Mount Vernon, WA 98274-7571 | 2006-07-14 |
| 1790741742 | Chris Alfonso Diaz | Specialist/Technologist | 700 Harriett St, Mount Vernon, IN 47620-2031 | 2006-04-26 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
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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.