MRS. JENNIFER KIMBERLY THOMPSON (NPI# 1386706208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386706208 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER KIMBERLY THOMPSON |
| Credential | ATC, LAT, PES |
| Practice Address |
1010 Fairway Dr Freeport IL 61032-6600 |
| Mailing Address |
1150 S Greenfield Dr Freeport IL 61032-7104 |
| Practice Telephone | 8155996340 |
| Practice Fax Number | 8155996748 |
| Mailing Telephone | 8155996340 |
| Mailing Fax Number | 8155996748 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2015-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096.002192 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928059 | Jennifer Thompson | Counselor | 1310 W Stottler Dr, Chandler, AZ 85224-2716 | 2020-10-04 |
| 1780235705 | Jennifer Thompson | Physical Therapy Assistant | 222 S 25th St Apt 235, Terre Haute, IN 47803-1864 | 2019-09-20 |
| 1154978617 | Jennifer Thompson | Dietitian, Registered | 1600 Whatley Drive, Suite 2, Dothan, AL 36303-1986 | 2019-08-20 |
| 1154898534 | Jennifer Thompson | Hearing Instrument Specialist | 710 N Vermilion St Ste 1, Danville, IL 61832-3982 | 2018-10-24 |
| 1134630692 | Jennifer Dianne Thompson | Case Manager/Care Coordinator | 1216 W James Ave, Enid, OK 73703-4538 | 2017-10-23 |
| 1568990646 | Jennifer Thompson | Technician | 2300 Good Hope Rd Se Apt 319, Washington, DC 20020-5115 | 2017-06-01 |
| 1003360439 | Jennifer Lynn Thompson | Case Manager/Care Coordinator | 606 25th Ave S Ste 103, Saint Cloud, MN 56301-4810 | 2016-08-15 |
| 1487036877 | Jennifer Thompson | Social Worker | 6212 Farm Gate Rd, Raleigh, NC 27606-2267 | 2015-06-23 |
| 1497168918 | Jennifer Thompson | Counselor | 161 Albany Tpke, Canton, CT 06019-2511 | 2014-06-03 |
| 1144641366 | Jennifer Thompson | Specialist/Technologist | 815 N 52nd St, Apt# 2252, Phoenix, AZ 85008-6734 | 2013-12-16 |
| Street Address |
1010 FAIRWAY DR |
| City | FREEPORT |
| State | IL |
| Zip Code | 61032-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629070933 | Susan K. Rahn | Nurse Practitioner | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2005-06-01 |
| 1073163838 | Tamisha Verner | Nurse Practitioner | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2019-09-13 |
| 1629628326 | Heather Lutz | Nurse Practitioner | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2019-09-13 |
| 1265081681 | Judy Cullor | Nurse Practitioner | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2019-09-09 |
| 1336623453 | Jane Addams Community Mental Health Center | Clinic/Center | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2018-09-25 |
| 1003334905 | Madison E Pickard | Physical Therapist | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2017-08-31 |
| 1114449519 | Lynda A Shiro | Nurse Practitioner | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2017-07-07 |
| 1699212043 | Timothy Rupnow | Nurse Practitioner | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2017-01-24 |
| 1972973238 | Cody Gallagher | Physical Medicine & Rehabilitation | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2015-09-30 |
| 1578993929 | Allyson Wilken | Physical Therapy Assistant | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2013-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517713 | Saad Awan | Pharmacist | 2545 Illinois 26 S, Freeport, IL 61032 | 2020-10-30 |
| 1891354460 | Freeport Chiropractic LLC | Chiropractor | 2 W Stephenson St, Freeport, IL 61032 | 2019-06-07 |
| 1487168373 | Lindsey Rae Harris-baker | Speech-Language Pathologist | 1802 W Laurel St, Freeport, IL 61032 | 2017-11-30 |
| 1861871246 | Pearl Pavilion LLC | Skilled Nursing Facility | 910 Kiwanis Drive, Freeport, IL 61032 | 2015-05-19 |
| 1245584598 | Mary E Brown | Massage Therapist | 815 W. Pleasant Street, Freeport, IL 61032 | 2012-11-07 |
| 1700135803 | April Braband | Specialist | 421 Exchange, Freeport, IL 61032 | 2012-09-05 |
| 1518198662 | Quad City Prosthetic Inc | Prosthetic/Orthotic Supplier | 1013 W Loras Dr, Suite A, Freeport, IL 61032 | 2009-08-06 |
| 1447486501 | Gary Alan Besley | Dentist | 1450 S. West Ave., Freeport, IL 61032 | 2009-06-03 |
| 1023244290 | Allies In Health Sc | Chiropractor | 418 W Meadows Dr., Freeport, IL 61032 | 2009-06-02 |
| 1912146614 | Kayla Nicole Rodebaugh | Specialist/Technologist | 1010 Fairway Drive, Freeport, IL 61032 | 2009-02-19 |
| Find all providers in zip 61032 | ||||
| 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 |
|---|---|---|---|---|
| 1033777040 | Catherine Marie Cavanagh | Specialist/Technologist | 73 Elliott Pl, Freeport, NY 11520-4812 | 2019-06-04 |
| 1376001941 | Kaitlyn Frey | Specialist/Technologist | 117 Gordon Pl, Freeport, NY 11520-5617 | 2019-03-03 |
| 1871057034 | Bryce Brown | Specialist/Technologist | 6688 N Oak Rd, Freeport, IL 61032-9084 | 2019-01-22 |
| 1518464767 | Molly Lutz | Specialist/Technologist | 12615 Business Hwy 331, Freeport, FL 32439 | 2018-04-12 |
| 1295243301 | Jerek Charles Pontius | Specialist/Technologist | 627 N Greenfield Dr, Freeport, IL 61032-2914 | 2018-01-11 |
| 1023558335 | Kearney Gutierrez | Specialist/Technologist | 156 N Brookside Ave, Freeport, NY 11520-1931 | 2017-03-06 |
| 1952840266 | Katherine Mclelland | Specialist/Technologist | 12615 U.S. 331 Bus, Freeport, FL 32439 | 2017-02-20 |
| 1912355033 | Katherine Shipe | Specialist/Technologist | 169 Foreman Rd, Freeport, PA 16229-1797 | 2016-05-31 |
| 1366729741 | Devon D Taylor | Specialist/Technologist | 455 W Merrick Rd, Freeport, NY 11520-4123 | 2011-11-13 |
| 1912146614 | Kayla Nicole Rodebaugh | Specialist/Technologist | 1010 Fairway Drive, Freeport, IL 61032 | 2009-02-19 |
| Find all providers in FREEPORT | ||||
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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.