MR. KENDALL BUTLER (NPI# 1649891797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649891797 |
| Entity Type | Individual |
| Full Name | MR. KENDALL BUTLER |
| Practice Address |
2001 S 5th St Apt 604 Waco TX 76706-2562 |
| Practice Telephone | 4803750435 |
| Mailing Telephone | 4803750435 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2001 S 5TH ST APT 604 |
| City | WACO |
| State | TX |
| Zip Code | 76706-2562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432632 | Jennifer Podrebarac | Counselor | 2010 Lasalle Ave, Ste B, Waco, TX 76706 | 2020-09-21 |
| 1629604186 | Lisa Grady | Counselor | 2010 Lasalle Ave, Suite A, Waco, TX 76706 | 2020-03-17 |
| 1699333096 | Magnolia Home Health LLC | Home Health | 635 N Robinson Dr Ste D, Robinson, TX 76706 | 2019-05-31 |
| 1669954863 | Lezlie Athey | Physical Therapy Assistant | 2997 Palomino Trail, Robinson, TX 76706 | 2018-09-04 |
| 1588144273 | David Allen Sulsh | Dentist | 421 N. Robinson Dr., Robinson, TX 76706 | 2018-08-21 |
| 1871942938 | Premier Er Plus - Waco, LLC | Clinic/Center | 221 N Jack Kultgen Expy, Suite 100, Waco, TX 76706 | 2016-06-09 |
| 1770970667 | Grant Louis Bargender | Specialist/Technologist | 1500 S. University Parks Dr, Baylor Athletic Training, Waco, TX 76706 | 2015-04-19 |
| 1376890533 | Focus Behavioral Associates, LLC | Behavioral Analyst | 635 N. Robinson Drive, Suite #k, Robinson, TX 76706 | 2012-08-07 |
| 1700113750 | Sheila A Luttrull | Nurse Practitioner | 1127 Ross Ave., Waco, TX 76706 | 2009-11-12 |
| 1386854065 | Social Work Connection | Case Management | 680 Apple Cross Court, Robinson, TX 76706 | 2007-05-23 |
| Find all providers in zip 76706 | ||||
| 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 |
|---|---|---|---|---|
| 1992343412 | Allison Diane Bracamontes | Specialist/Technologist | 2005 Kirby Lee St, Waco, TX 76712-8615 | 2019-12-16 |
| 1750948923 | Aldrich Tio Wang | Specialist/Technologist | 2415 S University Parks Dr Apt 1109, Waco, TX 76706-6533 | 2019-05-23 |
| 1083178842 | Teresa Nicolet | Specialist/Technologist | 2826 S University Parks Dr Apt 534, Waco, TX 76706-6564 | 2019-01-25 |
| 1871057091 | Jamie Elaine Bradley | Specialist/Technologist | 2255 S University Parks Dr Apt 16c, Waco, TX 76706-6599 | 2019-01-23 |
| 1780158675 | Landon Michael Trahan | Specialist/Technologist | 1903 S 11th St Apt A, Waco, TX 76706-3107 | 2019-01-14 |
| 1861973539 | Ashley Luedke | Specialist/Technologist | 4900 Bagby Ave Apt 512, Waco, TX 76711-0020 | 2018-08-22 |
| 1659861136 | Connie Kuei | Specialist/Technologist | 2255 S University Parks Dr Apt 6202, Waco, TX 76706-6621 | 2018-05-10 |
| 1093217226 | Kayla Dynise Ewing | Specialist/Technologist | 2201 Richter Ave, Waco, TX 76711-1954 | 2018-03-04 |
| 1790202414 | Whitley Brook Sepulveda | Specialist/Technologist | 833 Fort Gates, Waco, TX 76708-9740 | 2017-08-23 |
| 1588184493 | Yukiyo Shimosawa | Specialist/Technologist | 1010 N 17th St, Waco, TX 76707 | 2017-06-21 |
| Find all providers in WACO | ||||
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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.