JEREMY BOWEN (NPI# 1457889669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457889669 |
| Entity Type | Individual |
| Full Name | JEREMY BOWEN |
| Credential | ATC |
| Practice Address |
5200 N Lake Rd Merced CA 95343-5001 |
| Practice Telephone | 2092282468 |
| Mailing Telephone | 9167706149 |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2019-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972615920 | Jeremy S Bowen | Physician Assistant | 432 N Pleasant Ave, Centralia, IL 62801-3006 | 2006-08-31 |
| 1215409966 | Jeremy Bowen | Pharmacist | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2018-12-19 |
| 1942770128 | Jeremy Bradley Bowen | Physical Therapy Assistant | 1045 Broadway Park Ste 107, Homewood, AL 35209-6256 | 2018-11-29 |
| 1558619387 | Jeremy Adam Bowen | Social Worker | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2012-08-28 |
| 1386845188 | Jeremy Lee Bowen | Dentist | 19201 E Valley View Pkwy, Suite A, Independence, MO 64055-6910 | 2007-05-30 |
| Street Address |
5200 N LAKE RD |
| City | MERCED |
| State | CA |
| Zip Code | 95343-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013072057 | Christina Hicks | Physician Assistant | 5200 N Lake Rd, H. Rajender Reddy Health Center, Merced, CA 95343-5001 | 2006-12-27 |
| 1164960860 | Kevin Gilbert Vieira | Student in an Organized Health Care Education/Training Program | 5200 N Lake Rd, Merced, CA 95343-5001 | 2017-02-02 |
| 1760843833 | Jason Roberts | Specialist/Technologist | 5200 N Lake Rd, Merced, CA 95343-5001 | 2016-03-16 |
| 1376868703 | University of California, Merced Student Health Services | Clinic/Center | 5200 N Lake Rd, H. Rajender Reddy Health Center, Merced, CA 95343-5001 | 2010-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487211678 | Tiffani Regacho | Specialist/Technologist | 5200 N Lake Rd Apt 5, Merced, CA 95343-5001 | 2019-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091621 | Kristen N Brauchler | Student in an Organized Health Care Education/Training Program | 2098 Cabot Ave, Merced, CA 95348-4023 | 2020-10-22 |
| 1316546211 | Irene Isabella Nunez | Behavior Technician | 2997 Hampshire Ct, Merced, CA 95340-2374 | 2020-10-21 |
| 1306445267 | Laurie Gonzalez | Behavior Technician | 368 E Yosemite Ave Ste 200g, Merced, CA 95340-9100 | 2020-10-21 |
| 1902403983 | Ellieanna M Ford | Behavior Technician | 368 E Yosemite Ave, Merced, CA 95340-9100 | 2020-10-02 |
| 1932712403 | Heather L Shoopman | Licensed Vocational Nurse | 300 E 15th St Ste D, Merced, CA 95341-6217 | 2020-08-25 |
| 1356953848 | Jaeson M Fetalvero | Licensed Practical Nurse | 3834 Colma Ave, Merced, CA 95348-8719 | 2020-08-18 |
| 1497367924 | Changing Lives In The Central Valley LLC | Chore Provider | 478 E Yosemite Ave Ste C, Merced, CA 95340-8467 | 2020-08-17 |
| 1336750025 | Harvey Soza | Case Manager/Care Coordinator | 2764 Madrid Ave, Merced, CA 95348-1337 | 2020-08-14 |
| 1255942520 | Samantha Canal | Counselor | 300 E 13th St Suite C, Merced, CA 95341 | 2020-08-11 |
| 1942819628 | Florence Wairimu Thomsen | Nurse Practitioner | 12 Aldrich Dr, Merced, CA 95348-8516 | 2020-07-28 |
| Find all providers in MERCED | ||||
| 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 |
|---|---|---|---|---|
| 1487211678 | Tiffani Regacho | Specialist/Technologist | 5200 N Lake Rd Apt 5, Merced, CA 95343-5001 | 2019-05-22 |
| 1861931438 | Vincent Andrew Long | Specialist/Technologist | 1157 Loughborough Dr Apt 1, Merced, CA 95348-1810 | 2017-02-15 |
| 1760843833 | Jason Roberts | Specialist/Technologist | 5200 N Lake Rd, Merced, CA 95343-5001 | 2016-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417981 | David Yudis | Specialist/Technologist | 82 Victoria Ste 201, Newport Beach, CA 92660-9009 | 2020-11-05 |
| 1790385466 | Tamia Shoshone | Specialist/Technologist | 2823 Diaz Lane, Bishop, CA 93514 | 2020-10-30 |
| 1639779630 | Taylor Anderson | Specialist/Technologist | 3320 Honolulu Ave Apt 11, La Crescenta, CA 91214-3389 | 2020-10-28 |
| 1548869571 | Joshua Watersjackson | Specialist/Technologist | 430406 Las Pulgas, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1063011278 | Hilary Ann King | Specialist/Technologist | 824 W Maple Ave, Tulare, CA 93274-2609 | 2020-10-19 |
| 1568069854 | Tess Buchanan | Specialist/Technologist | 4480 Leatherwood Ct, Concord, CA 94521-4416 | 2020-10-08 |
| 1407453343 | Peter Wang | Specialist/Technologist | 3034 Belmont Dr, Lodi, CA 95242-9732 | 2020-10-05 |
| 1164029138 | Marisa Angelina Terrazas | Specialist/Technologist | 1416 Rampart Dr, Roseville, CA 95661-4749 | 2020-10-02 |
| 1427665645 | Alvaro Juarez Jr. | Specialist/Technologist | 31550 Palomar Rd, Menifee, CA 92584-9258 | 2020-09-30 |
| 1407462237 | Lorenzo Aguirre | Specialist/Technologist | 1836 Lapham Dr, Modesto, CA 95354-3900 | 2020-09-17 |
| 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.