JEROD KEENE (NPI# 1578196580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578196580 |
| Entity Type | Individual |
| Full Name | JEROD KEENE |
| Credential | MS, LAT, ATC |
| Practice Address |
333 E Campus Mall # 5140 Madison WI 53715-1365 |
| Practice Telephone | 6088901959 |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1241-39 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
333 E CAMPUS MALL # 5140 |
| City | MADISON |
| State | WI |
| Zip Code | 53715-1365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
| 1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
| 1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
| 1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
| 1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
| 1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
| 1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
| 1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
| 1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
| 1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
| Find all providers in zip 53715 | ||||
| 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 |
|---|---|---|---|---|
| 1497396428 | Austin Drake | Specialist/Technologist | 201 Planters Cv, Madison, MS 39110-7988 | 2019-10-01 |
| 1407400112 | Zafir Georges-abeyie | Specialist/Technologist | 1920 Kendall Ave Apt 2, Madison, WI 53726-4008 | 2019-07-31 |
| 1023675212 | Kennedy Wayne Germany Jr. | Specialist/Technologist | 813 Seashell Cove, Madison, TN 37115 | 2019-05-22 |
| 1457810673 | Leah Smith | Specialist/Technologist | 1436 Monroe Street, Madison, WI 53711 | 2019-03-18 |
| 1710451927 | Patrick Louis Johnson | Specialist/Technologist | 103 Lynbrook Blvd, Madison, AL 35758-8137 | 2019-01-22 |
| 1518430735 | Jennifer Cecil | Specialist/Technologist | 126 Spring Water Dr, Madison, AL 35758-1391 | 2019-01-10 |
| 1073086336 | John M Spillman | Specialist/Technologist | 1913 Neelys Bend Rd, Madison, TN 37115-5811 | 2019-01-09 |
| 1932677309 | Garrett Hansen | Specialist/Technologist | 402 Northbay Dr, Madison, MS 39110-8859 | 2018-11-05 |
| 1891284303 | Lisbeth Smith | Specialist/Technologist | 920 Spring St, Madison, WI 53715-3603 | 2018-05-09 |
| 1760971279 | Nicole Elizabeth Heimark | Specialist/Technologist | 202 N Brooks St Apt 401, Madison, WI 53715-1153 | 2018-05-09 |
| Find all providers in MADISON | ||||
Please comment or provide details below to improve the information on JEROD KEENE.
| 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.