JACLYN EILEEN GONZALEZ (NPI# 1558801761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558801761 |
| Entity Type | Individual |
| Full Name | JACLYN EILEEN GONZALEZ |
| Credential | MS, LAT, ATC |
| Practice Address |
207 N 3rd St Kingsville TX 78363-4401 |
| Mailing Address |
Po Box 909 Kingsville TX 78364-0909 |
| Practice Telephone | 3615958600 |
| Practice Fax Number | 3615959183 |
| Mailing Telephone | 3612075455 |
| Mailing Fax Number | 3615959183 |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT5734 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225544273 | Jaclyn Marie Gonzalez | Specialist/Technologist | 12450 Sw 7th Pl, Davie, FL 33325-3400 | 2017-12-28 |
| 1083222335 | Jaclyn Anne Gonzalez | Physical Therapist | 85 Godwin Ave, Midland Park, NJ 07432-1970 | 2020-07-22 |
| Street Address |
207 N 3RD ST |
| City | KINGSVILLE |
| State | TX |
| Zip Code | 78363-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558583864 | Kingsville Isd | Local Education Agency (LEA) | 207 N 3rd St, Kingsville, TX 78363-4401 | 2007-05-03 |
| 1417179722 | Ricardo Isd | Local Education Agency (LEA) | 207 N 3rd St, Kingsville, TX 78363-4401 | 2007-05-03 |
| 1023230331 | Kenedy County-wide Csd | Local Education Agency (LEA) | 207 N 3rd St, Kingsville, TX 78363-4401 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023598810 | Adriana Galicia | Speech-Language Pathologist | 316 E General Cavasos Blvd, Kingsville, TX 78363 | 2018-08-21 |
| 1609379171 | Amanda Sue Benavidez | Counselor | 1621 East Corral, Kingsville, TX 78363 | 2018-03-12 |
| 1437666831 | Castaneda Quick Care, P.l.l.c. | Nurse Practitioner | 907 E. Fordyce Ave., Kingsville, TX 78363 | 2018-01-08 |
| 1639505951 | Mark Richard Hannay | Preventive Medicine | 614 Mccain St Ste 310, Kingsville, TX 78363 | 2013-09-18 |
| 1508104415 | Angels of God Home Health LLC | Licensed Vocational Nurse | 117 N 7th St., Kingsville, TX 78363 | 2013-01-28 |
| 1679818595 | Randall L Simonsen Md Pa | Pathology | 1311 East General Cavazos, Christus Spohn Hospital Kleberg, Kingsville, TX 78363 | 2012-12-04 |
| 1124378120 | Cecil David Matthews | Pharmacist | 1010 West Ave B, Oee, Kingsville, TX 78363 | 2012-09-17 |
| 1861621708 | Amber Insook Chun | Student in an Organized Health Care Education/Training Program | 1010 West Avenue B, Texas A&m Health Science Center, Msc 131, Kingsville, TX 78363 | 2009-07-14 |
| 1437317294 | Ugarte Family Medical Clinic | Family Medicine | 1311 E General Cavazos Blvd Ste L, Kingsville, TX 78363 | 2008-05-29 |
| 1871773945 | Richard Gerard Sanchez | Counselor | 205 East King, Suite 3, Kingsville, TX 78363 | 2007-11-06 |
| Find all providers in zip 78363 | ||||
| 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 |
|---|---|---|---|---|
| 1487112587 | Joshua Berenbach | Specialist/Technologist | 8007 Yellowstone Rd, Kingsville, MD 21087-1512 | 2019-03-07 |
| 1518431709 | Veronica Bridges | Specialist/Technologist | 12712 Lee Ben Rd, Kingsville, MD 21087-1128 | 2019-01-22 |
| 1700395985 | Samantha Lynn Linnemann | Specialist/Technologist | 2506 Karylou Dr, Kingsville, MD 21087-1014 | 2017-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932562 | Kyndall Leigh Soukup | Specialist/Technologist | 16002 Rosethorn Ct, Cypress, TX 77429-3490 | 2020-11-03 |
| 1447850631 | Claire Oliver-dehaven | Specialist/Technologist | 7012 Ridgetop Rd, North Richland Hills, TX 76182-3331 | 2020-10-28 |
| 1609476894 | Tessa Mcelroy | Specialist/Technologist | 1606 Trail Glen Ct, Pantego, TX 76013-3152 | 2020-10-28 |
| 1265031702 | Kiana Angelique Leveston | Specialist/Technologist | 2820 W Frey St Apt 7209, Stephenville, TX 76401-1905 | 2020-10-24 |
| 1205435856 | Jessica Moreno | Specialist/Technologist | 3718 Duck Creek Dr, Garland, TX 75043-2962 | 2020-10-23 |
| 1437758612 | Dina Y Scott | Specialist/Technologist | 107 N Greenville Ave Ste B, Allen, TX 75002-9161 | 2020-10-20 |
| 1275131864 | Kasie Bell | Specialist/Technologist | 215 Richland Dr, Kilgore, TX 75662-2049 | 2020-10-15 |
| 1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
| 1538766191 | Francisco Ruben Perez | Specialist/Technologist | 2503 6th St, Lubbock, TX 79409-9806 | 2020-10-07 |
| 1356958128 | Brandi Neeley | Specialist/Technologist | 12131 Kirby Dr, Houston, TX 77045-4857 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | KINGSVILLE |
| Zip Code | 78363 |
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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.