KACI LUDWIG (NPI# 1417465600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417465600 |
| Entity Type | Individual |
| Full Name | KACI LUDWIG |
| Credential | ATC, LAT |
| Practice Address |
5655 S 4th St Saint Joseph MO 64504-1708 |
| Mailing Address |
49 Northridge Dr Saint Joseph MO 64506-1272 |
| Practice Telephone | 8163515498 |
| Mailing Telephone | 8163515498 |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5655 S 4TH ST |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64504-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437504594 | Jenna Beth Zettel | Specialist/Technologist | 5655 S 4th St, Saint Joseph, MO 64504-1708 | 2016-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427151695 | David Cathcart | Family Medicine | 401 Illinois, Saint Joseph, MO 64504 | 2006-09-06 |
| 1477521995 | Deborah A Weems | Emergency Medicine | 5001 Lake Ave, Saint Joseph, MO 64504 | 2006-03-10 |
| 1548821184 | Kweku Osei | Nurse Practitioner | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2019-06-25 |
| 1538655535 | Tiffani L Bradbury | Nurse Practitioner | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2018-07-03 |
| 1891201869 | Nathan Eugene Noakes | Social Worker | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2017-12-28 |
| 1992215271 | Kelly D Adkins | Social Worker | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2017-10-02 |
| 1790294007 | Christian Dale Tanner | Nurse Practitioner | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2017-09-29 |
| 1134662901 | Brittany Shea Mace | Nurse Practitioner | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2016-11-29 |
| 1669928024 | Carissa Janel Crabb | Social Worker | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2016-08-26 |
| 1790942910 | Cristyn Watkins | Family Medicine | 5001 Lake Ave, Saint Joseph, Saint Joseph, MO 64504-1170 | 2008-05-16 |
| Find all providers in zip 64504 | ||||
| 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 |
|---|---|---|---|---|
| 1225592421 | Andrea Canas | Specialist/Technologist | 508 Sherwood Dr, Saint Joseph, IL 61873-9468 | 2019-01-22 |
| 1538661186 | Jesse Anderson | Specialist/Technologist | 102 Iverson St W, Saint Joseph, MN 56374-4650 | 2018-02-28 |
| 1437504594 | Jenna Beth Zettel | Specialist/Technologist | 5655 S 4th St, Saint Joseph, MO 64504-1708 | 2016-04-26 |
| 1861856403 | Hannah E Warnert | Specialist/Technologist | 33674 83rd Ave, Saint Joseph, MN 56374-9786 | 2016-04-10 |
| 1982074175 | Timothy Clair Mcnair | Specialist/Technologist | 1446 Deerfield St, Saint Joseph, MI 49085-9763 | 2015-09-30 |
| 1033586466 | Cara Conrad | Specialist/Technologist | 4367 Hart Dr, Saint Joseph, MI 49085-9310 | 2015-09-02 |
| 1861873952 | Edison Derr II | Specialist/Technologist | 2214 Maple St, Saint Joseph, MO 64507-1413 | 2015-06-15 |
| 1992198014 | Madeline Svec | Specialist/Technologist | 3170 Estates Dr N, Saint Joseph, MI 49085-3435 | 2015-03-13 |
| 1174860944 | Blaise D. Kriley | Specialist/Technologist | 4525 Downs Dr, Saint Joseph, MO 64507-2246 | 2013-01-13 |
| 1306867049 | Mark Duane Russell | Specialist/Technologist | 3950 Hollywood Rd Ste 140, Saint Joseph, MI 49085-9151 | 2006-07-21 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64504 |
Please comment or provide details below to improve the information on KACI LUDWIG.
| 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.