KEITH ALLEN PELTIER JR. (NPI# 1437786381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437786381 |
| Entity Type | Individual |
| Full Name | KEITH ALLEN PELTIER JR. |
| Credential | ATC LAT |
| Practice Address |
6965 Cumberland Gap Pkwy Harrogate TN 37752-8231 |
| Practice Telephone | 4238696560 |
| Mailing Telephone | 4238696560 |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2288 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | ATHLETIC TRAINER | 2288 | 01 |
| Street Address |
6965 CUMBERLAND GAP PKWY |
| City | HARROGATE |
| State | TN |
| Zip Code | 37752-8231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366483463 | Christopher J Loyke | Family Medicine | 6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8231 | 2006-06-09 |
| 1346847480 | Weston Davenport | Registered Nurse | 6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8245 | 2020-10-01 |
| 1669089835 | Joshua O Leatherwood | Registered Nurse | 6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8245 | 2020-09-30 |
| 1447867080 | Evgenia Pavlovna Suttles | Registered Nurse | 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 | 2020-09-28 |
| 1073120754 | Griffin Kopp | Registered Nurse | 6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8245 | 2020-09-28 |
| 1306453089 | Matthew Steven Wynn | Registered Nurse | 6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8245 | 2020-09-28 |
| 1376150961 | Tyler Lynn Rader | Registered Nurse | 6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8245 | 2020-09-28 |
| 1245847896 | Abby Winters | Student in an Organized Health Care Education/Training Program | 6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8245 | 2020-09-28 |
| 1982211785 | Wilfredo Antonio Velasco Vargas | Registered Nurse | 6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8245 | 2020-09-25 |
| 1477179786 | Richard Wooree Kim | Student in an Organized Health Care Education/Training Program | 6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8245 | 2020-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295281145 | Tracie Herrell | Nurse Practitioner | 159 Piccadilly Ave, Harrogate, TN 37752 | 2016-08-31 |
| 1245535715 | Julianne Christine Ray | Physician Assistant | 6965 Cumberland Gap Parkway, Lincoln Memorial University, Harrogate, TN 37752 | 2011-01-14 |
| 1003975392 | Psychiatric Practice,llc | Psychiatry & Neurology | 6144 Cumberland Gap Pkway, Suite 1, Harrogate, TN 37752 | 2006-12-06 |
| 1922180991 | Debbie A Poore | Nurse Practitioner | 169 Westmoreland St, Harrogate, TN 37752 | 2006-10-19 |
| 1306938352 | Hearland Medical P C | Family Medicine | 170 Beech Street, Suite 1, Harrogate, TN 37752 | 2006-09-28 |
| 1790889475 | Nancy Deane Good Maddox | Psychologist | 6144 Cumberland Gap Parkway, Suite 2, Harrogate, TN 37752 | 2006-09-12 |
| 1710913090 | Gina Marie Defranco | Family Medicine | 424 N. Broad Street, New Tazewell, TN 37752 | 2006-06-25 |
| 1497792253 | Kenneth P Trzil | Emergency Medicine | 165 Westermoreland St, Harrogate, TN 37752 | 2006-06-01 |
| 1831164862 | Ramesh Kadekoppal Rao | Radiology | 389 Forge Ridge Road, Harrogate, TN 37752 | 2006-02-22 |
| 1306204524 | Matthew Robinson | Specialist/Technologist | 362 Catalpa Ave, Harrogate, TN 37752 | 2016-02-02 |
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| 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 |
|---|---|---|---|---|
| 1346277977 | Jack Winn Mansfield Sr. | Specialist/Technologist | 6569 Cumberland Gap Pkwy, Harrogate, TN 37752-8015 | 2006-06-27 |
| 1922564251 | Javiera Paz Gonzalez | Specialist/Technologist | 6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8245 | 2019-02-12 |
| 1942727334 | Megan Rose Sauviac | Specialist/Technologist | 6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8245 | 2017-08-25 |
| 1407379308 | Mara Elizabeth Brock | Specialist/Technologist | 362 Catalpa Ave, Harrogate, TN 37752-8149 | 2017-07-23 |
| 1306204524 | Matthew Robinson | Specialist/Technologist | 362 Catalpa Ave, Harrogate, TN 37752 | 2016-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628979 | Casey Brooks | Specialist/Technologist | 1223 Huntsville Hwy, Fayetteville, TN 37334-3617 | 2020-10-30 |
| 1275147761 | Samantha Michelle Howell | Specialist/Technologist | 1551 Lake Loudon Blvd Ofc A111, Knoxville, TN 37916-4009 | 2020-09-02 |
| 1447869391 | Kurt Howard Robbins | Specialist/Technologist | 7855 Racquetball Ln Apt 317, Cordova, TN 38016-8629 | 2020-07-27 |
| 1285242529 | Kelley Anne Seekins | Specialist/Technologist | 204 E. College St., Athens, TN 37303 | 2020-07-22 |
| 1437776143 | Kayla Hayes | Specialist/Technologist | 305 W Bell Ave, Chattanooga, TN 37405-3401 | 2020-06-29 |
| 1952928673 | Ashton Bailey Sexton | Specialist/Technologist | 622 Steekee St, Loudon, TN 37774-1167 | 2020-06-29 |
| 1710504303 | David Spencer Hiland | Specialist/Technologist | 150 Jake Branch Rd, Beechgrove, TN 37018-3177 | 2020-06-29 |
| 1659998367 | Kristopher Ace Ippolito | Specialist/Technologist | 212 Walnut St Apt 254, Chattanooga, TN 37403-4400 | 2020-06-29 |
| 1316564032 | Zachary Peter Brown | Specialist/Technologist | 24 Mountain Orchard Path, Signal Mountain, TN 37377-2663 | 2020-06-29 |
| 1518584218 | Christopher Zane Slater | Specialist/Technologist | 1915 Miller Crossroads Rd, Hillsboro, TN 37342-3720 | 2020-06-29 |
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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.