BLAKE HUDSPETH (NPI# 1558988519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558988519 |
| Entity Type | Individual |
| Full Name | BLAKE HUDSPETH |
| Practice Address |
701 College Rd Lebanon IL 62254-1291 |
| Practice Telephone | 6185376929 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096004108 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
701 COLLEGE RD |
| City | LEBANON |
| State | IL |
| Zip Code | 62254-1291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144293820 | William Edward Dill II | Specialist/Technologist | 701 College Rd, Lebanon, IL 62254-1291 | 2006-02-10 |
| 1255957544 | Abigail Louise Conner | Specialist/Technologist | 701 College Rd, Lebanon, IL 62254-1291 | 2020-06-22 |
| 1588280200 | Katy Renee Gayford | Specialist/Technologist | 701 College Rd, Lebanon, IL 62254-1291 | 2020-06-18 |
| 1629595509 | Joshua Parker Craig | Specialist/Technologist | 701 College Rd, Lebanon, IL 62254-1291 | 2017-08-23 |
| 1609399039 | Jessica L Henderson | Specialist/Technologist | 701 College Rd, Lebanon, IL 62254-1291 | 2017-07-18 |
| 1033662614 | Kristin Von Hatten | Specialist/Technologist | 701 College Rd, Lebanon, IL 62254-1291 | 2016-07-29 |
| 1366823346 | Abigail Maurer | Specialist/Technologist | 701 College Rd, Lebanon, IL 62254-1291 | 2015-06-15 |
| 1871982637 | Beth Allan | Nurse Practitioner | 701 College Rd, Lebanon, IL 62254-1291 | 2015-01-16 |
| 1831531326 | Lance L Ringhausen | Specialist/Technologist | 701 College Rd, Lebanon, IL 62254-1291 | 2013-07-24 |
| 1013970706 | Dawn M. Hankins | Specialist/Technologist | 701 College Rd, Mckendree College, Lebanon, IL 62254-1291 | 2006-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477788305 | Tonya Gass | Occupational Therapist | 1201 North Alton, Lebanon, IL 62254 | 2009-05-21 |
| 1679550644 | Lebanon Hco, LLC | Skilled Nursing Facility | 1201 N Alton St, Lebanon, IL 62254-1103 | 2005-12-29 |
| 1346873510 | Lebanon Hco, LLC | Skilled Nursing Facility | 1201 N Alton St, Lebanon, IL 62254-1103 | 2020-02-17 |
| 1245475664 | Elizabeth Budd Korte | Family Medicine | 420 Hillcrest Dr, Lebanon, IL 62254-1107 | 2008-12-15 |
| 1467892760 | Christy Nichole Niles | Counselor | 10918 Fallowfield Dr, Lebanon, IL 62254-1163 | 2013-07-01 |
| 1629076021 | David A Weik | Podiatrist | 1 Perryman St, Lebanon, IL 62254-1356 | 2005-07-09 |
| 1245884469 | Cedar Ridge Care and Rehabilitation Center LLC | Skilled Nursing Facility | 1 Perryman St, Lebanon, IL 62254-1356 | 2019-07-25 |
| 1003375270 | Cep America - Illinois Snf, LLP | Internal Medicine | 1 Perryman St, Lebanon, IL 62254-1356 | 2019-03-18 |
| 1578038402 | Andrea Bahan | Physical Therapist | 1 Perryman St, Lebanon, IL 62254-1356 | 2018-10-08 |
| 1114237575 | Kimberly Ann Wagner | Licensed Practical Nurse | 1 Perryman St, Lebanon, IL 62254-1356 | 2010-10-19 |
| Find all providers in zip 62254 | ||||
| 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 |
|---|---|---|---|---|
| 1710524913 | Shyann Wallace | Specialist/Technologist | 1150 Harvest Dr, Lebanon, PA 17046-1574 | 2019-12-06 |
| 1154886414 | August Deshae Montgomery | Specialist/Technologist | 1 Cumberland Sq # 3046, Lebanon, TN 37087-3408 | 2019-01-31 |
| 1356854939 | Christian James Novy | Specialist/Technologist | 10913 Sylvan Vista Dr, Lebanon, IL 62254-2334 | 2017-11-06 |
| 1710401492 | Kenzlie Ann Westerfield | Specialist/Technologist | 613 Countryside Drive, Lebanon, IN 46052 | 2017-08-03 |
| 1174074454 | Kayla Strother | Specialist/Technologist | 321 Hoffmann Ave, Lebanon, OH 45036-1116 | 2016-10-20 |
| 1649727173 | Brandon Gibson | Specialist/Technologist | 226 Dickens Ct, Lebanon, OH 45036-8580 | 2016-09-01 |
| 1427407584 | Matthew Charles Wood | Specialist/Technologist | 946 Stone Ridge Ln, Lebanon, OH 45036-8530 | 2016-06-09 |
| 1144677006 | Heather Tobias | Specialist/Technologist | 950 Isabel Dr, Lebanon, PA 17042-7482 | 2016-05-20 |
| 1518311760 | Catherine Hays | Specialist/Technologist | 426 Deerfield Rd, Lebanon, OH 45036-2363 | 2016-04-13 |
| 1124490461 | Kayla Haston | Specialist/Technologist | 913 Claiborne Ln, Lebanon, IN 46052-3907 | 2015-10-27 |
| Find all providers in LEBANON | ||||
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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.