KRISTA MARIA KIM (NPI# 1376030460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376030460 |
Entity Type | Individual |
Full Name | KRISTA MARIA KIM |
Credential | ATC |
Practice Address |
150 S Roosevelt Rd Apt 1029 Mesa AZ 85202-1076 |
Practice Telephone | 9256991101 |
Mailing Telephone | 9256991101 |
Enumeration Date | 2018-04-16 |
Last Update Date | 2018-04-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1476 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
150 S ROOSEVELT RD APT 1029 |
City | MESA |
State | AZ |
Zip Code | 85202-1076 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
Find all providers in zip 85202 |
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 |
---|---|---|---|---|
1316548746 | Cheyenne Varga | Specialist/Technologist | 918 W Nido Ave, Mesa, AZ 85210-7658 | 2020-11-03 |
1740889815 | Jory Walthour | Specialist/Technologist | 4545 E Downing St, Mesa, AZ 85205-6319 | 2020-10-20 |
1952900151 | Joseph Espinoza | Specialist/Technologist | 505 S Roosevelt Rd Apt I6, Mesa, AZ 85202-1702 | 2020-10-20 |
1093373805 | Michael John Morgan Jr. | Specialist/Technologist | 10612 E Wavelength Ave, Mesa, AZ 85212-8713 | 2019-06-05 |
1790240554 | Kathryn Anna Mercer | Specialist/Technologist | 2529 E Lockwood St, Mesa, AZ 85213-2382 | 2019-02-06 |
1518422344 | Alfredo Casillas | Specialist/Technologist | 1416 N Sierra Heights Cir, Mesa, AZ 85207-4275 | 2019-02-06 |
1225515638 | Molly Gordon | Specialist/Technologist | 9560 E Ray Rd, Mesa, AZ 85212-8530 | 2018-07-27 |
1396233417 | Courtney Van Damme | Specialist/Technologist | 6745 E Superstition Springs Blvd Apt 2115, Mesa, AZ 85206-4320 | 2018-04-24 |
1326559790 | Keighley Faye Richardson | Specialist/Technologist | 625 W Natal Cir, Mesa, AZ 85210-7594 | 2017-10-12 |
1649780305 | Theodore William Polakowski | Specialist/Technologist | 2909 E Fox St, Mesa, AZ 85213-5443 | 2017-10-09 |
Find all providers in MESA |
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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.