KAITLYN FRANCIS HERWAT (NPI# 1538672134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538672134 |
| Entity Type | Individual |
| Full Name | KAITLYN FRANCIS HERWAT |
| Credential | AT |
| Practice Address |
206 Page Ave Jackson MI 49201-2418 |
| Mailing Address |
4029 Francis St Jackson MI 49203-5435 |
| Practice Telephone | 5179302508 |
| Mailing Telephone | 5179302508 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2601001815 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
206 PAGE AVE |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-2418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619956646 | Orthopaedic Rehab Specialists, PC | Physical Therapist | 206 Page Ave, Jackson, MI 49201 | 2006-01-10 |
| 1528684537 | Morgan Mayer | Physical Therapist | 206 Page Ave, Jackson, MI 49201-2418 | 2020-06-25 |
| 1902333198 | Maverick Ray Nichols | Physical Therapist | 206 Page Ave, Jackson, MI 49201-2418 | 2017-05-18 |
| 1679019558 | Katherine Joan Hilbert | Specialist/Technologist | 206 Page Ave, Jackson, MI 49201-2418 | 2017-01-16 |
| 1801332275 | Joel Massobrio | Specialist/Technologist | 206 Page Ave, Jackson, MI 49201-2418 | 2017-01-10 |
| 1316482839 | Bethany Suzanne Cuatt | Specialist/Technologist | 206 Page Ave, Jackson, MI 49201-2418 | 2016-12-20 |
| 1164853958 | Kathleen G Brennan | Occupational Therapist | 206 Page Ave, Jackson, MI 49201-2418 | 2013-12-05 |
| 1316388713 | Heather Marie Devereaux | Occupational Therapist | 206 Page Ave, Jackson, MI 49201-2418 | 2013-07-13 |
| 1376885244 | Cassandra Butters | Occupational Therapist | 206 Page Ave, Jackson, MI 49201-2418 | 2013-03-19 |
| 1184991234 | Matthew Lewis Draper | Specialist/Technologist | 206 Page Ave, Jackson, MI 49201-2418 | 2011-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| 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 |
|---|---|---|---|---|
| 1205471752 | Shelly Ann Botwinick | Specialist/Technologist | 104 Daisy Ct, Jackson, NJ 08527-2582 | 2019-11-07 |
| 1023668019 | Jonathan Wilson | Specialist/Technologist | 1050 Union University Dr # 1811, Jackson, TN 38305-3656 | 2019-09-12 |
| 1588132161 | John Thomas Raybon | Specialist/Technologist | 328 Portis Ave, Jackson, AL 36545-2650 | 2018-11-13 |
| 1265925044 | Caroline Marie Stevens | Specialist/Technologist | 715 S Grinnell St, Jackson, MI 49203-1685 | 2018-06-07 |
| 1447762067 | Sarah Elisabeth Wilhelm | Specialist/Technologist | 3483 Spring Arbor Rd, Jackson, MI 49203-3637 | 2017-11-05 |
| 1619410388 | Erin Nelson | Specialist/Technologist | 4174 Lancashire Dr, Jackson, MI 49203-5137 | 2016-11-29 |
| 1235681685 | Latesha Fleming | Specialist/Technologist | 241 Glenside Dr, Jackson, MS 39211-4309 | 2016-11-02 |
| 1962855239 | David Miller | Specialist/Technologist | 917 Bellevue Pl, Jackson, MS 39202-2702 | 2016-07-21 |
| 1023488186 | Melanie J Weesies | Specialist/Technologist | 3417 Mayapple Ln Apt 32, Jackson, MI 49201-7199 | 2015-10-01 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| Find all providers in JACKSON | ||||
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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.