KEVIN GULLION (NPI# 1558760454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558760454 |
| Entity Type | Individual |
| Full Name | KEVIN GULLION |
| Credential | ATC |
| Practice Address |
604 E College Ave North Manchester IN 46962 |
| Mailing Address |
3946 Ice Way Fort Wayne IN 46808 |
| Practice Telephone | 2609825125 |
| Mailing Telephone | 8125710167 |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2018-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36002690A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1725 State St, La Crosse, WI 546013742 | 6087856925 |
| Street Address |
604 E COLLEGE AVE |
| City | NORTH MANCHESTER |
| State | IN |
| Zip Code | 46962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063544179 | Mark Warren Huntington | Physical Therapist | 604 E College Ave, North Manchester, IN 46962-1276 | 2007-03-12 |
| 1831736941 | Erin R Foreman | Specialist/Technologist | 604 E College Ave, North Manchester, IN 46962-1276 | 2019-12-09 |
| 1871139212 | Erin L Orttel | Specialist/Technologist | 604 E College Ave, North Manchester, IN 46962-1276 | 2019-11-20 |
| 1013415611 | Abigail J Gipson | Specialist/Technologist | 604 E College Ave, North Manchester, IN 46962-1276 | 2018-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437636404 | Webbs Family Pharmacy 3 LLC | Pharmacy | 103 N Heeter St, North Manchester, IN 46962 | 2018-07-23 |
| 1063715050 | Suzanna Hicks | Counselor | 206 North Market Street, North Manchester, IN 46962 | 2010-12-13 |
| 1447372768 | Joy Elizabeth Struble | Family Medicine | 605 N. Walnut Street, North Manchester, IN 46962 | 2007-04-06 |
| 1457395006 | Lori Jill Zimmerman | Family Medicine | 605 N Walnut Street, North Manchester, IN 46962 | 2006-06-15 |
| 1346282712 | Joel Eikenberry | Emergency Medicine | 107 South Buffalo Street, North Manchester, IN 46962 | 2006-06-12 |
| 1245290923 | Nathan D Trump | Optometrist | 1201 State Road 114 E, North Manchester, IN 46962 | 2006-03-25 |
| 1649797655 | Melissa Lynnae Parker | Nurse Practitioner | 400 W 7th St, North Manchester, IN 46962 | 2017-08-30 |
| 1093818791 | Hook Superx LLC | Pharmacy | 302 E Main St, N. Manchester, IN 46962 | 2006-09-07 |
| 1285613919 | Paul H. Fry-miller | Physician Assistant | 1104 N Wayne St, North Manchester, IN 46962-1001 | 2006-01-11 |
| 1255312187 | Russell Glendon Coulter-kern | Psychologist | 1118 N Wayne St, North Manchester, IN 46962-1001 | 2005-11-08 |
| Find all providers in zip 46962 | ||||
| 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 |
|---|---|---|---|---|
| 1003447434 | Ignacio A Ubilla | Specialist/Technologist | 606 Miami St Apt A, North Manchester, IN 46962-1281 | 2020-02-04 |
| 1831736941 | Erin R Foreman | Specialist/Technologist | 604 E College Ave, North Manchester, IN 46962-1276 | 2019-12-09 |
| 1871139212 | Erin L Orttel | Specialist/Technologist | 604 E College Ave, North Manchester, IN 46962-1276 | 2019-11-20 |
| 1013415611 | Abigail J Gipson | Specialist/Technologist | 604 E College Ave, North Manchester, IN 46962-1276 | 2018-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342988 | Sarah Elizabeth Schiller | Specialist/Technologist | 3499 W 800 S, Fort Branch, IN 47648-8174 | 2020-09-26 |
| 1093321374 | Claire Elizabeth Sayre | Specialist/Technologist | 7764 W County Road 625 N, Middletown, IN 47356-9725 | 2020-09-22 |
| 1386256071 | Dylan A Wirick | Specialist/Technologist | 3547 Mechanicsburg Dr, Indianapolis, IN 46227-9626 | 2020-08-23 |
| 1750993267 | Kathryn Ruark | Specialist/Technologist | 625 Canal View Dr Apt G, Indianapolis, IN 46202-6121 | 2020-08-18 |
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1538778139 | Tyralee Frye | Specialist/Technologist | 731 Lincoln Dr, Bloomfield, IN 47424-1023 | 2020-07-29 |
| 1902415508 | Kaitlyn Kendrick | Specialist/Technologist | 2909 Tindall St, Indianapolis, IN 46203-5449 | 2020-07-29 |
| 1063037166 | Ronald Lee Ennis Jr. | Specialist/Technologist | 307 Henley Rd, Richmond, IN 47374-5946 | 2020-06-15 |
| 1235753278 | Lauren Schnell | Specialist/Technologist | 3196 Lakeside Dr, Jasper, IN 47546-9517 | 2020-06-05 |
| 1942824552 | Deni Nicole Roller | Specialist/Technologist | 544 Royalton Dr, New Haven, IN 46774-2658 | 2020-05-31 |
| Find all providers with the same taxonomy | ||||
| City | NORTH MANCHESTER |
| Zip Code | 46962 |
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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.