KERRIE A SMITH (NPI# 1467894204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467894204 |
| Entity Type | Individual |
| Full Name | KERRIE A SMITH |
| Credential | A.T.C |
| Practice Address |
2560 Colorado Blvd Eagle Rock CA 90041-1005 |
| Practice Telephone | 3232555409 |
| Practice Fax Number | 3232555732 |
| Mailing Telephone | 3232555409 |
| Mailing Fax Number | 3232555732 |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
900002121 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205398476 | Kerrie Nona Smith | Specialist/Technologist | 3945 E Lexington Ave, Gilbert, AZ 85234-4415 | 2019-04-04 |
| Street Address |
2560 COLORADO BLVD |
| City | EAGLE ROCK |
| State | CA |
| Zip Code | 90041-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619334208 | Michelle Rodriguez | Anaplastologist | 2560 Colorado Blvd, Eagle Rock, CA 90041-1005 | 2016-01-27 |
| 1235504424 | Bailey Gwenneth Ward | Physical Therapist | 2560 Colorado Blvd, Eagle Rock, CA 90041-1005 | 2015-12-14 |
| 1992106454 | Mark Danial | Physical Therapist | 2560 Colorado Blvd, Eagle Rock, CA 90041-1005 | 2014-09-15 |
| 1346641982 | William Brown Burns | Physical Therapist | 2560 Colorado Blvd, Eagle Rock, CA 90041-1005 | 2014-09-15 |
| 1417358045 | Rachel Oyama | Physical Therapist | 2560 Colorado Blvd, Eagle Rock, CA 90041-1005 | 2014-09-15 |
| 1902207541 | Erich Chung | Physical Therapist | 2560 Colorado Blvd, Eagle Rock, CA 90041-1005 | 2014-09-15 |
| 1093840233 | Summer Robertson | Specialist/Technologist | 2560 Colorado Blvd, Eagle Rock, CA 90041-1005 | 2007-02-21 |
| 1538239660 | Matthew David Himsey | Physical Therapist | 2560 Colorado Blvd, Eagle Rock, CA 90041-1005 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994501 | Josephine Villanueva | Technician | 4433 Eagle Rock Blvd. #113, Los Angeles, CA 90041 | 2019-10-22 |
| 1457862484 | Maria Susana Espino Gonzales | Physiological Laboratory | 5264 Lockhaven Ave, Los Angeles, CA 90041 | 2017-10-17 |
| 1407366602 | Tuan H Phan | Pharmacist | 4414 Yolk Boulevard, Los Angeles, CA 90041 | 2017-10-03 |
| 1194195164 | College Vista, LLC | Skilled Nursing Facility | 4681 North Eagle Rock Blvd, Los Angeles, CA 90041 | 2015-10-02 |
| 1346640026 | Angelynn Hermes | Social Worker | 850 Colorado Blvd Ste 102, Los Angeles, CA 90041 | 2014-08-29 |
| 1205181179 | Michael E Ignacio | Dentist | 1916 W. Colorado, Los Angeles, CA 90041 | 2012-07-17 |
| 1093074999 | Marilyn Henry Murphy | Psychologist | 4368 Eagle Rock Boulevard, Los Angeles, CA 90041 | 2012-05-11 |
| 1235434911 | Mohammad Khaknegar | Dentist | 2455 Colorado Blvd., #16, Los Angeles, CA 90041 | 2011-01-11 |
| 1174844088 | Ileana Escobedo | Marriage & Family Therapist | 1551 Waldran Ave, Los Angeles, CA 90041 | 2010-06-15 |
| 1649404963 | Metro Healthcare Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 4515 Eagle Rock Blvd., Ste 111-c, Los Angeles, CA 90041 | 2009-05-14 |
| Find all providers in zip 90041 | ||||
| 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 |
|---|---|---|---|---|
| 1093840233 | Summer Robertson | Specialist/Technologist | 2560 Colorado Blvd, Eagle Rock, CA 90041-1005 | 2007-02-21 |
| 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 | ||||
| City | EAGLE ROCK |
| Zip Code | 90041 |
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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.