MR. FRED WYNN HINA JR. (NPI# 1467803163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467803163 |
| Entity Type | Individual |
| Full Name | MR. FRED WYNN HINA JR. |
| Credential | ATC |
| Practice Address |
2432 S Floyd St Louisville KY 40209-1805 |
| Practice Telephone | 5028520116 |
| Practice Fax Number | 5028520808 |
| Mailing Telephone | 5028520116 |
| Mailing Fax Number | 5028520808 |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT128 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2432 S FLOYD ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40209-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043606882 | Krystal Gomez | Specialist/Technologist | 2432 S Floyd St, Louisville, KY 40209-1805 | 2015-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821124660 | Occupational Health Centers of The Southwest, P.a., P.s.c. | Clinic/Center | 4870 Crittenden, Louisville, KY 40209 | 2007-02-26 |
| 1184873119 | Concentra Health Services, Inc. | Clinic/Center | 4870 Crittenden, Louisville, KY 40209 | 2008-09-15 |
| 1740606078 | Vickie Cobble-forehand | Home Health Aide | 215 Ottawa Ave, Louisville, KY 40209-1212 | 2014-03-11 |
| 1932263035 | Michael Childers | Dentist | 644 Phillips Ln, Suite 1002, Louisville, KY 40209-1312 | 2006-12-21 |
| 1548883960 | Proactive Md Ky Psc | Family Medicine | 4340 Crittenden Dr, Louisville, KY 40209-1600 | 2020-05-20 |
| 1245200419 | Mercy Ambulance Service, Inc. | Ambulance | 468 Huron Ave, Louisville, KY 40209-1626 | 2006-01-23 |
| 1063695567 | American Current Care, P.a. | Clinic/Center | 4870 Crittenden Dr, Louisville, KY 40209-1702 | 2007-12-07 |
| 1881951564 | Nora Richardson | Physical Therapist | 4870 Crittenden Dr, Louisville, KY 40209-1732 | 2012-04-18 |
| 1578063525 | Jeremy William Dockter | Specialist/Technologist | 2800 S Floyd St, Louisville, KY 40209-1818 | 2018-02-16 |
| 1942696414 | Daryl Nelson | Specialist/Technologist | 2800 S Floyd St, Louisville, KY 40209-1818 | 2015-04-12 |
| Find all providers in zip 40209 | ||||
| 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 |
|---|---|---|---|---|
| 1679184139 | Kaley Elizabeth Evans | Specialist/Technologist | 17617 Curry Branch Rd, Louisville, KY 40245-7447 | 2020-08-10 |
| 1275150088 | Kristen Pollock | Specialist/Technologist | 1130 W Chestnut St Apt 1310, Louisville, KY 40203-2047 | 2020-06-26 |
| 1033732029 | Antonio Wayne Terrell | Specialist/Technologist | 3813 Parker Ave, Louisville, KY 40212-2845 | 2020-05-25 |
| 1306475538 | Amanda S King | Specialist/Technologist | 3117 Cabinwood Dr, Louisville, KY 40220-2605 | 2020-04-08 |
| 1174157747 | Megan Fernandez | Specialist/Technologist | 2400 Mellwood Ave Apt 1213, Louisville, KY 40206-1075 | 2020-02-23 |
| 1275166969 | William Robert Burns | Specialist/Technologist | 4928 Determine Ln, Louisville, KY 40216-2365 | 2020-02-20 |
| 1497388466 | Anthony Duong | Specialist/Technologist | 4824 Bellevue Ave, Louisville, KY 40215-2412 | 2020-02-19 |
| 1407494271 | Ashtyn Joy Collins | Specialist/Technologist | 824 S 4th St, Louisville, KY 40203-2116 | 2019-12-12 |
| 1366099624 | Jacob Thomas Brunemann | Specialist/Technologist | 2440 Concord Dr, Louisville, KY 40217-1832 | 2019-08-21 |
| 1811543556 | Brook Lee Reichmuth | Specialist/Technologist | 5120 Dixie Hwy Ste 102, Louisville, KY 40216-1775 | 2019-08-16 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40209 |
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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.