TIM DRIEDRIC (NPI# 1386091031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386091031 |
| Entity Type | Individual |
| Full Name | TIM DRIEDRIC |
| Practice Address |
3400 S. Bowman Rd. Apt 812 Little Rock AR 72211 |
| Mailing Address |
3400 S Bowman Rd Apt 812 Little Rock AR 72211-4657 |
| Practice Telephone | 5013514185 |
| Mailing Telephone | 5013514185 |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
618 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3400 S. BOWMAN RD. APT 812 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| 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 |
|---|---|---|---|---|
| 1952893554 | Corinna Alysia Papps | Specialist/Technologist | 104 Buckland Pl, Little Rock, AR 72223-4567 | 2018-05-31 |
| 1124535075 | Alexandra Glenn | Specialist/Technologist | 15 Ridgehaven Ct, Little Rock, AR 72211-2253 | 2018-01-01 |
| 1396255030 | Jessica Sandbulte | Specialist/Technologist | 1942 Log Ave, Little Rock, IA 51243-7514 | 2017-10-09 |
| 1982129235 | Zania Lafaye Stewart | Specialist/Technologist | 1621 Dr Martin Luther King Dr, Little Rock, AR 72202-6068 | 2017-08-08 |
| 1326498080 | Kellye O'neal | Specialist/Technologist | 13420 David O Dodd Rd, Little Rock, AR 72210-2724 | 2016-06-14 |
| 1679922553 | Madeline Awtrey | Specialist/Technologist | 11900 Pleasant Ridge Rd, Apt. #1324, Little Rock, AR 72223-2348 | 2016-06-10 |
| 1477955524 | Matthew Holt | Specialist/Technologist | 10815 Colonel Glenn Rd, Little Rock, AR 72204-8011 | 2014-09-19 |
| 1033533922 | Jacqueline Diane Ross | Specialist/Technologist | 12509 Pleasant Forest Dr, Little Rock, AR 72212-2214 | 2014-02-12 |
| 1427261114 | Brian E Mahoney | Specialist/Technologist | 8907 Kanis Road, Ste. 400, Little Rock, AR 72205 | 2007-05-08 |
| 1598807380 | Tara Beth Mcdaniel | Specialist/Technologist | 1701 Cantrell Rd, Little Rock, AR 72201-1111 | 2007-02-12 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
Please comment or provide details below to improve the information on TIM DRIEDRIC.
| 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.