MICUM KYLE MCINTIRE (NPI# 1497764658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497764658 |
| Entity Type | Individual |
| Full Name | MICUM KYLE MCINTIRE |
| Credential | MS, ATC, OTC |
| Practice Address |
789 Pine St Burlington VT 05401-4933 |
| Mailing Address |
Po Box 68 Lincoln NH 03251-0068 |
| Practice Telephone | 8022641052 |
| Mailing Telephone | 6037458930 |
| Mailing Fax Number | 6037459898 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2011-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
104.0000165 | VT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0363 | NH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
09-0203 | NH | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
789 PINE ST |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401-4933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321842 | Heather Anne Larose | Physician Assistant | 789 Pine St, Burlington, VT 05401 | 2005-07-26 |
| 1942852652 | Jordan Young | Specialist/Technologist | 789 Pine St, Burlington, VT 05401-4933 | 2019-07-12 |
| 1639521412 | Mary Anne Kohn | Nurse Practitioner | 789 Pine St, Burlington, VT 05401 | 2016-07-06 |
| 1528444056 | Michael A Cooper | Physical Therapist | 789 Pine St, Burlington, VT 05401-4933 | 2015-08-06 |
| 1003237561 | Daniel Kraucunas | Specialist/Technologist | 789 Pine St, Burlington, VT 05401-4933 | 2013-12-30 |
| 1770626632 | Perry and Slesnick, PC | Dentist | 789 Pine St, Burlington, VT 05401-4933 | 2007-02-14 |
| 1770651523 | All Seasons Physical Therapy Consultants Inc | Physical Therapist | 789 Pine St, Burlington, VT 05401-4933 | 2006-12-01 |
| 1205900495 | Patrick J Paldino | Dentist | 789 Pine St, Burlington, VT 05401-4933 | 2006-11-20 |
| 1891741088 | Keith Hunter Karpinski | Physical Therapist | 789 Pine St, Burlington, VT 05401-4933 | 2006-05-26 |
| 1982658654 | Vivian Esparza | Family Medicine | 789 Pine St, Burlington, VT 05401-4933 | 2006-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
| 1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
| 1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
| 1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
| 1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
| 1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
| 1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
| Find all providers in zip 05401 | ||||
| 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 |
|---|---|---|---|---|
| 1386256360 | William Conrad Desjardins | Specialist/Technologist | 20 Manhattan Dr, Burlington, MA 01803-1905 | 2020-08-20 |
| 1518501667 | John Gibbon | Specialist/Technologist | 432 Dunford Dr, Burlington, WI 53105-2319 | 2019-11-01 |
| 1023651866 | Andrew John Nadeau | Specialist/Technologist | 192 Park St Unit 1, Burlington, VT 05401-5118 | 2019-10-24 |
| 1861035602 | Barbara Anne Murray Dimaio | Specialist/Technologist | 407 College St Apt 3, Burlington, VT 05401-3459 | 2019-10-24 |
| 1548815855 | Deana Pearson | Specialist/Technologist | 1782 10th Rd, Burlington, KS 66839-9088 | 2019-08-04 |
| 1649834821 | Courtnee Springs | Specialist/Technologist | 5049 Patillo Church Rd, Burlington, NC 27217-7850 | 2019-04-24 |
| 1578040671 | Alanie Jeannette Welch | Specialist/Technologist | 10584 S Nc Highway 62, Burlington, NC 27217-8451 | 2018-07-23 |
| 1528561602 | Zachary W Kelly | Specialist/Technologist | 54 Bailly Dr, Burlington, NJ 08016-4289 | 2018-03-14 |
| 1316449762 | Gabriela Marie Zimbron | Specialist/Technologist | 40 Arlington Ct, Burlington, VT 05408-2501 | 2018-03-01 |
| 1285132795 | Christopher Robinson | Specialist/Technologist | Rowell Building Carrigan Dr, University of Vermont, Burlington, VT 05401-0540 | 2018-01-30 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 05401 |
Please comment or provide details below to improve the information on MICUM KYLE MCINTIRE.
| 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.