LAMAR RICHARD INNES (NPI# 1457752115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457752115 |
| Entity Type | Individual |
| Full Name | LAMAR RICHARD INNES |
| Credential | ATC |
| Practice Address |
4190 W Highway 80 Douglas AZ 85607-6100 |
| Practice Telephone | 5204174124 |
| Practice Fax Number | 5204174096 |
| Mailing Telephone | 5204174124 |
| Mailing Fax Number | 5204174096 |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1203 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4190 W HIGHWAY 80 |
| City | DOUGLAS |
| State | AZ |
| Zip Code | 85607-6100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669094033 | Sierra Lynn Williams | Specialist/Technologist | 4190 W Highway 80, Douglas, AZ 85607-6190 | 2020-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811472665 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1151 16th Street, Douglas, AZ 85607 | 2018-09-27 |
| 1457758609 | Angela Leah Overturf | Nurse Practitioner | 100 East 5th Street, Douglas, AZ 85607 | 2014-12-02 |
| 1609279108 | Walter Tucker | Counselor | 2100 E 8th, Douglas, AZ 85607 | 2014-09-29 |
| 1851700488 | Gerardo Grijalva | Non-emergency Medical Transport (VAN) | 2714 E 6th St, Douglas, AZ 85607 | 2014-08-07 |
| 1174933246 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 1019 F Ave, Douglas, AZ 85607 | 2014-04-29 |
| 1831473164 | Cheryl Lynn Mcneeley | Speech-Language Pathologist | 815 E. 15th Street, Douglas, AZ 85607 | 2011-10-05 |
| 1245523364 | Community Intervention Associates | Community/Behavioral Health | 1701 North Douglasave, Douglas, AZ 85607 | 2011-05-23 |
| 1174820898 | Chiricahua Community Health Centers, Inc | Clinic/Center | 815 15th Street, Douglas, AZ 85607 | 2011-02-15 |
| 1033319512 | Community Healthcare of Douglas Inc | Clinic/Center | 1906 11th Street, Douglas, AZ 85607 | 2007-07-23 |
| 1538360888 | Jay Daniel Zamora | Chiropractor | 1915 E 10th St, Douglas, AZ 85607 | 2007-05-31 |
| Find all providers in zip 85607 | ||||
| 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 |
|---|---|---|---|---|
| 1821656224 | Samantha Jolyn Cole | Specialist/Technologist | 150 Irvine Bridge Rd, Douglas, WY 82633-8914 | 2019-05-31 |
| 1174008312 | Megan Kelly Sullivan | Specialist/Technologist | 56 Pond St, Douglas, MA 01516-2029 | 2018-10-02 |
| 1215330279 | Benjamin Swafford | Specialist/Technologist | 159 Trojan Way, Douglas, GA 31533-8263 | 2014-10-06 |
| 1891105011 | Jenna Walker | Specialist/Technologist | 1701 Hamilton St, Douglas, WY 82633-2781 | 2014-04-28 |
| 1861454191 | Mitchell Paul Nelson | Specialist/Technologist | 1500 E 15th St, Douglas, AZ 85607-1731 | 2006-04-03 |
| 1184612756 | Jeffrey Philip Weems | Specialist/Technologist | 178 Fox Ridge Rd, Douglas, GA 31535-5628 | 2005-10-07 |
| 1669094033 | Sierra Lynn Williams | Specialist/Technologist | 4190 W Highway 80, Douglas, AZ 85607-6190 | 2020-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548746 | Cheyenne Varga | Specialist/Technologist | 918 W Nido Ave, Mesa, AZ 85210-7658 | 2020-11-03 |
| 1669073284 | Tiffany Fiesler | Specialist/Technologist | 6051 N Rockland Dr Apt B, Prescott Valley, AZ 86314-3187 | 2020-11-02 |
| 1104426063 | Desiree Pacheco | Specialist/Technologist | 2333 E Southern Ave Unit 2088, Tempe, AZ 85282-7647 | 2020-10-29 |
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1740889815 | Jory Walthour | Specialist/Technologist | 4545 E Downing St, Mesa, AZ 85205-6319 | 2020-10-20 |
| 1225637317 | Alexsys Cameran Stroh | Specialist/Technologist | 1349 S Burlington St, Flagstaff, AZ 86001-2446 | 2020-10-20 |
| 1952900151 | Joseph Espinoza | Specialist/Technologist | 505 S Roosevelt Rd Apt I6, Mesa, AZ 85202-1702 | 2020-10-20 |
| 1093314445 | Christopher Murphy | Specialist/Technologist | 301 E Bromley St, Tucson, AZ 85704-5704 | 2020-10-17 |
| 1942807052 | Thomas Langer | Specialist/Technologist | 1317 S Terrace Rd, Box #156, Tempe, AZ 85281 | 2020-10-02 |
| 1689280034 | Jordan Nash-boulden | Specialist/Technologist | 6000 S Lakeshore Dr, Tempe, AZ 85283-3049 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
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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.