KATHLEEN NICOLE PEREZ (NPI# 1497120109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497120109 |
| Entity Type | Individual |
| Full Name | KATHLEEN NICOLE PEREZ |
| Credential | ATC |
| Practice Address |
210 Walmart Dr Ste 100 Soddy Daisy TN 37379-5022 |
| Mailing Address |
1421 Cloverdale Cir Apt 309 Hixson TN 37343-4487 |
| Practice Telephone | 4233329490 |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2017-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1899 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT002561 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770857559 | Kathleen Grennan Perez | Midwife | 12240 Lamington Dr, Fort Worth, TX 76244-7563 | 2012-02-27 |
| 1609431618 | Kathleen Perez | Behavior Technician | 17595 Almahurst St, City of Industry, CA 91748-1779 | 2019-05-06 |
| 1609340363 | Kathleen L Perez | Radiology | 35 Green Pond Rd Ste C, Rockaway, NJ 07866-2057 | 2019-01-16 |
| 1740620079 | Kathleen Perez | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2013-07-01 |
| 1407135551 | Kathleen Mae Perez | Physical Therapist | 8323 Southwest Fwy, Suite 101, Houston, TX 77074-1615 | 2011-08-08 |
| 1407951916 | Kathleen A Perez | Pharmacist | 10 N Greene St, Baltimore, MD 21201-1524 | 2006-09-13 |
| 1366415382 | Kathleen Perez | Internal Medicine | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2006-02-09 |
| Street Address |
210 WALMART DR STE 100 |
| City | SODDY DAISY |
| State | TN |
| Zip Code | 37379-5022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174577571 | William David Van Eaton | Physical Therapist | 210 Walmart Dr, Suite 100, Soddy Daisy, TN 37379-5022 | 2006-05-20 |
| 1063989150 | Patrice Vivienne Henry | Nurse Practitioner | 210 Walmart Dr, Soddy Daisy, TN 37379-5022 | 2018-10-27 |
| 1184167686 | Detraves Neville Thicklin | Specialist/Technologist | 210 Walmart Dr, Ste 100, Soddy Daisy, TN 37379-5022 | 2016-12-01 |
| 1730537481 | Alex Oleg Ronin | Nurse Practitioner | 210 Walmart Dr, Soddy Daisy, TN 37379-5022 | 2016-06-02 |
| 1851346241 | Karin C. Downs | Physical Therapist | 210 Walmart Dr, Suite 100, Soddy Daisy, TN 37379-5022 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124405154 | Yuri Sawa | Family Medicine | 9445 Dayton Pike, Soddy Daisy, TN 37379 | 2015-04-28 |
| 1194111732 | Case Tedder | Family Medicine | 9448 Dayton Pike, Soddy Daisy, TN 37379 | 2015-04-10 |
| 1386905206 | Laura Paynter Hill | Family Medicine | 210 Walmart Drive, Soddy Daisy, TN 37379 | 2012-06-07 |
| 1699703264 | Shahla Amjad Kaukab | Pediatrics | 9089 Dayton Pike, Soddy Daisy, TN 37379 | 2006-06-30 |
| 1518910702 | Neil Chivington | Nurse Anesthetist, Certified Registered | 1567 Leighton Drive, Soddy Daisy, TN 37379 | 2006-05-18 |
| 1568858819 | Jenifer S Herra | Internal Medicine | 210 Walmart Drive, Soddy Daisy, TN 37379 | 2015-04-14 |
| 1437558731 | Danielle A Vandergriff | Nurse Practitioner | 210 Walmart Drive, Soddy Daisy, TN 37379 | 2014-08-22 |
| 1851648778 | Thomas C. Flanagan, D.d.s. | Dentist | 10407 Dayton Pike, Tom Flanagan Orthodontics, Soddy Daisy, TN 37379 | 2012-08-09 |
| 1548535917 | Kathryn Len Sands | Counselor | 9220 Parkwest Blvd, Knoxville, TN 37379 | 2012-03-18 |
| 1932492303 | William Chalkley Whitmire | Ophthalmology | 9453 Dayton Pike, Soddy Daisy, TN 37379 | 2011-05-18 |
| Find all providers in zip 37379 | ||||
| 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 |
|---|---|---|---|---|
| 1184167686 | Detraves Neville Thicklin | Specialist/Technologist | 210 Walmart Dr, Ste 100, Soddy Daisy, TN 37379-5022 | 2016-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628979 | Casey Brooks | Specialist/Technologist | 1223 Huntsville Hwy, Fayetteville, TN 37334-3617 | 2020-10-30 |
| 1275147761 | Samantha Michelle Howell | Specialist/Technologist | 1551 Lake Loudon Blvd Ofc A111, Knoxville, TN 37916-4009 | 2020-09-02 |
| 1447869391 | Kurt Howard Robbins | Specialist/Technologist | 7855 Racquetball Ln Apt 317, Cordova, TN 38016-8629 | 2020-07-27 |
| 1285242529 | Kelley Anne Seekins | Specialist/Technologist | 204 E. College St., Athens, TN 37303 | 2020-07-22 |
| 1437776143 | Kayla Hayes | Specialist/Technologist | 305 W Bell Ave, Chattanooga, TN 37405-3401 | 2020-06-29 |
| 1952928673 | Ashton Bailey Sexton | Specialist/Technologist | 622 Steekee St, Loudon, TN 37774-1167 | 2020-06-29 |
| 1710504303 | David Spencer Hiland | Specialist/Technologist | 150 Jake Branch Rd, Beechgrove, TN 37018-3177 | 2020-06-29 |
| 1659998367 | Kristopher Ace Ippolito | Specialist/Technologist | 212 Walnut St Apt 254, Chattanooga, TN 37403-4400 | 2020-06-29 |
| 1316564032 | Zachary Peter Brown | Specialist/Technologist | 24 Mountain Orchard Path, Signal Mountain, TN 37377-2663 | 2020-06-29 |
| 1518584218 | Christopher Zane Slater | Specialist/Technologist | 1915 Miller Crossroads Rd, Hillsboro, TN 37342-3720 | 2020-06-29 |
| Find all providers with the same taxonomy | ||||
| City | SODDY DAISY |
| Zip Code | 37379 |
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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.