MRS. KRISTINE DOMINO STEVENS (NPI# 1457360125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457360125 |
Entity Type | Individual |
Full Name | MRS. KRISTINE DOMINO STEVENS |
Credential | A.T.C., L.A.T. |
Practice Address |
1101 Ohio Dr Suite 110 Plano TX 75093-5330 |
Mailing Address |
2819 Hidden Knoll Trl Frisco TX 75034-4667 |
Practice Telephone | 9729852622 |
Practice Fax Number | 9729852630 |
Mailing Telephone | 9726241292 |
Enumeration Date | 2006-08-05 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT1405 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528504552 | Kristine Carlyle Stevens | Physician Assistant | 2605 Blue Ridge Rd, Suite 300, Raleigh, NC 27607-0112 | 2017-01-14 |
Street Address |
1101 OHIO DR SUITE 110 |
City | PLANO |
State | TX |
Zip Code | 75093-5330 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386642650 | Outpatient Sports and Spine Rehabilitation. LLC | Clinic/Center | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2005-07-12 |
1639526528 | Darya Tronina Zhelezkov | Physical Therapist | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2016-05-20 |
1447697883 | Matthew David Dunn | Physical Therapist | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2013-05-24 |
1306937073 | Rachel Ortigo Jillson | Physical Therapist | 1101 Ohio Dr, Ste 110, Plano, TX 75093-5330 | 2006-09-27 |
1942301064 | Andrea Marie Domino | Physical Therapist | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2006-09-25 |
1245344522 | Corey Taylor Smith | Specialist/Technologist | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2006-08-17 |
1013020858 | Kendra Lee Pike | Physical Therapist | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2006-08-16 |
1922010412 | Robert Ray Luedtke | Specialist/Technologist | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2006-08-12 |
1942211768 | Elizabeth W Zeigler | Physical Therapist | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2006-08-10 |
1972556629 | Covenant Hand Therapy PC | Prosthetic/Orthotic Supplier | 1101 Ohio Dr, Ste 105, Plano, TX 75093 | 2006-05-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
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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 |
---|---|---|---|---|
1508475450 | Charmaura D Henderson | Specialist/Technologist | 4421 Ridge Point Ln, Plano, TX 75024-7039 | 2020-07-27 |
1477188027 | Olivia Michelle Triplett | Specialist/Technologist | 6308 Windcrest Dr Apt 3126, Plano, TX 75024-3025 | 2020-03-04 |
1891325890 | Judy Kistler-robinson | Specialist/Technologist | 2609 Las Palmas Ln, Plano, TX 75075-2125 | 2020-01-19 |
1861053282 | Alexandra Langley Ward | Specialist/Technologist | 1021 Filmore Dr, Plano, TX 75025-2505 | 2019-06-26 |
1013474972 | Samantha Dworkin | Specialist/Technologist | 6600 Stadium Dr, Plano, TX 75023-2210 | 2019-02-27 |
1285198366 | Ronald Buchetto Jr. | Specialist/Technologist | 1517 Huron Trl, Plano, TX 75075-6825 | 2019-01-23 |
1164926044 | Melissa Brown | Specialist/Technologist | 2304 Choctaw Dr, Plano, TX 75093-3937 | 2018-03-23 |
1477074417 | Kearra Comer | Specialist/Technologist | 7013 Canyonbrook Dr, Plano, TX 75074 | 2017-06-29 |
1770004905 | Susan Smiley | Specialist/Technologist | 2904 Lemmontree Ln, Plano, TX 75074-4756 | 2017-06-28 |
1710434923 | Daniel Rosselli | Specialist/Technologist | 5737 Misted Breeze Dr, Plano, TX 75093-8535 | 2016-09-06 |
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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.