MR. KENNETH BECKER (NPI# 1598185233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598185233 |
| Entity Type | Individual |
| Full Name | MR. KENNETH BECKER |
| Credential | ATC |
| Practice Address |
623 S University Blvd Nampa ID 83686-5800 |
| Practice Telephone | 2084678011 |
| Practice Fax Number | 2084678396 |
| Mailing Telephone | 2084678011 |
| Mailing Fax Number | 2084678396 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT-394 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659673515 | Kenneth Paul Becker | Counselor | 4048 Lakeland Ave N # 22031, Minneapolis, MN 55422-2236 | 2010-11-29 |
| 1982128922 | Kenneth S. Becker | Counselor | 911 Sycamore St Ste 300, Cincinnati, OH 45202-1318 | 2017-08-01 |
| 1700168739 | Kenneth C Becker | Pharmacist | 1327 Meadowlark Dr, Winston Salem, NC 27106-9817 | 2011-09-15 |
| 1992812507 | Kenneth H. Becker | Family Medicine | 301 Memorial Dr, Suite F, Seneca, SC 29672-9491 | 2006-08-23 |
| 1285644187 | Kenneth L. Becker | Internal Medicine | 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 | 2006-08-09 |
| 1336155332 | Kenneth Becker | Internal Medicine | 1901 S 1st St, Temple, TX 76504-7451 | 2006-07-31 |
| 1275573867 | Kenneth Alan Becker | Dermatology | 891 Willow Dr, Suite 1, Chapel Hill, NC 27514-7077 | 2006-06-08 |
| 1336104959 | Kenneth J Becker | Surgery | 155 W Merrick Rd, Freeport, NY 11520-3743 | 2006-04-18 |
| Street Address |
623 S UNIVERSITY BLVD |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-5800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928653 | Northwest Nazarene University Health Clinic | Family Medicine | 623 S University Blvd, Nampa, ID 83686-5800 | 2020-10-07 |
| 1720607252 | Jaime Ann May | Specialist/Technologist | 623 S University Blvd, Nampa, ID 83686-5800 | 2020-04-14 |
| 1184096208 | Stacy Freiburghaus | Counselor | 623 S University Blvd, Nampa, ID 83686-5800 | 2015-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| 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 |
|---|---|---|---|---|
| 1205494713 | Caitlyn Hamilton | Specialist/Technologist | 7012 Sky Ranch Rd, Nampa, ID 83686-9164 | 2019-05-30 |
| 1457811416 | Ben Harris | Specialist/Technologist | 415 N Sherwood Dr, Nampa, ID 83651-1865 | 2019-03-24 |
| 1043728595 | Jessica Cremer | Specialist/Technologist | 203 Lake Lowell Ave, Nampa, ID 83686-6654 | 2018-01-18 |
| 1821484809 | Eren Havrilak | Specialist/Technologist | 218 S Blue Heron Way, Nampa, ID 83687-8985 | 2015-04-07 |
| 1669862884 | Avery Brianne Carlson | Specialist/Technologist | 36 5th St N, Nampa, ID 83687-3482 | 2015-01-26 |
| 1457696783 | Laurel Evans | Specialist/Technologist | 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 | 2012-11-27 |
| 1124157185 | Kermit C Sullivan IIi | Specialist/Technologist | 1303 E Greenhurst Rd, Nampa, ID 83686-7216 | 2007-03-05 |
| 1457406597 | Lora Elisabeth Thompson | Specialist/Technologist | 301 S. Happy Valley Road, Nampa, ID 83687 | 2007-01-25 |
| 1720607252 | Jaime Ann May | Specialist/Technologist | 623 S University Blvd, Nampa, ID 83686-5800 | 2020-04-14 |
| 1568861284 | Matthew Rawlins | Specialist/Technologist | 131 Constitution Way, Nampa, ID 83686-6018 | 2014-08-19 |
| Find all providers in NAMPA | ||||
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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.