MACKENZIE CAMPBELL (NPI# 1396399119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396399119 |
| Entity Type | Individual |
| Full Name | MACKENZIE CAMPBELL |
| Practice Address |
160 Old Main Hl Logan UT 84322-0160 |
| Mailing Address |
480 Suncrest Ln Apt 102 Logan UT 84341-3129 |
| Practice Telephone | 4254423809 |
| Mailing Telephone | 4254423809 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
11336211-4810 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112043 | Mackenzie Campbell | Behavior Technician | 7905 Schatz Pointe Dr Ste 104, Dayton, OH 45459-0001 | 2020-07-24 |
| 1104212679 | Mackenzie Campbell | Dietitian, Registered | 211 Cool Springs Blvd, Franklin, TN 37067-7242 | 2015-04-11 |
| Street Address |
160 OLD MAIN HL |
| City | LOGAN |
| State | UT |
| Zip Code | 84322-0160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447706007 | Conner Andrews | Physician Assistant | 7425 Old Main Hill, Logan, UT 84322 | 2016-09-01 |
| 1841743515 | Kali Leanne Markle | Audiologist | 2620 Old Main Hl, Logan, UT 84322 | 2016-07-29 |
| 1043670011 | Paul Bryan Beachem Iv | Specialist/Technologist | 7400 Old Main Hill, Dale Mildenberger Sports Medicine Complex, Logan, UT 84322 | 2016-03-03 |
| 1508387176 | Matthew Steven Buckner | Specialist/Technologist | 7400 Old Main Hl, Logan, UT 84322 | 2017-07-04 |
| 1386776730 | Utah State University | Psychologist | 2810 Old Main Hl, Logan, UT 84322 | 2007-03-12 |
| 1366971368 | Caleigh Goode | Specialist/Technologist | 7425 Old Main Hill Athletic Training Room, Logan, UT 84322-0001 | 2017-06-05 |
| 1639319775 | Vicki L. Simonsmeier | Speech-Language Pathologist | Department of Communicative Disorders, 1000 Old Main Hill, Logan, UT 84322-0001 | 2009-03-03 |
| 1730246299 | George Christopher Wootton | Nurse Practitioner | 6802 Old Main Hl, Utah State University, Logan, UT 84322-0001 | 2007-01-03 |
| 1356373807 | Utah State University, Center for Persons With Disabilities | Day Training, Developmentally Disabled Services | 6810 Old Main Hl, Logan, UT 84322-0001 | 2006-07-07 |
| 1801878095 | James Walter Davis | Emergency Medicine | 9100 Old Main Hill, 850 East 1200 North, Logan, UT 84322-0001 | 2005-11-15 |
| Find all providers in zip 84322 | ||||
| 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 |
|---|---|---|---|---|
| 1366971368 | Caleigh Goode | Specialist/Technologist | 7425 Old Main Hill Athletic Training Room, Logan, UT 84322-0001 | 2017-06-05 |
| 1043670011 | Paul Bryan Beachem Iv | Specialist/Technologist | 7400 Old Main Hill, Dale Mildenberger Sports Medicine Complex, Logan, UT 84322 | 2016-03-03 |
| 1427444090 | Nicholas Scott Lambertsen | Specialist/Technologist | 353 1/2 N 500 E, Apt 8, Logan, UT 84321-4255 | 2015-04-10 |
| 1346636917 | Sabrina Gay | Specialist/Technologist | 57 Marindale Ave, Logan, UT 84321-4443 | 2015-04-10 |
| 1447642483 | William Jay Hubbard | Specialist/Technologist | 14470 State Route 328, Logan, OH 43138-9444 | 2015-02-27 |
| 1619388014 | Philip Michael Boozer | Specialist/Technologist | 7425 Old Main Hl, Logan, UT 84322-7425 | 2014-05-19 |
| 1902216534 | Brian Matthew Schmidt | Specialist/Technologist | 1258 Mountain Rd, Logan, UT 84321-4917 | 2014-05-05 |
| 1750687257 | Benjamin Robin Hamilton | Specialist/Technologist | 764 N 100 W Apt 2, Logan, UT 84321-8006 | 2011-01-31 |
| 1285961565 | Adam Raikes | Specialist/Technologist | 7000 Old Main Hl, Logan, UT 84322-7000 | 2009-11-07 |
| 1114149556 | Fawn Michel | Specialist/Technologist | 7400 Old Main Hl, Logan, UT 84322-7400 | 2007-05-03 |
| Find all providers in LOGAN | ||||
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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.