KIRSTIE JONES BOUTWELL (NPI# 1669022935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669022935 |
| Entity Type | Individual |
| Full Name | KIRSTIE JONES BOUTWELL |
| Credential | ATC, LAT |
| Practice Address |
3300 Siegel Rd Murfreesboro TN 37129-5844 |
| Mailing Address |
115 Spring Cir Smyrna TN 37167-4820 |
| Practice Telephone | 6159043800 |
| Mailing Telephone | 9044121524 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0000001809 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3300 SIEGEL RD |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37129-5844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183188 | Results-ast Jv, LLC | Physical Therapist | 1203-b Memorial Blvd, Murfreesboro, TN 37129 | 2020-10-27 |
| 1629689674 | Saint Thomas Medical Partners | Clinic/Center | 220 West Jefferson Pike, Murfreesboro, TN 37129 | 2020-08-13 |
| 1841822301 | Treasure Island Pediatric Dentistry | Clinic/Center | 1900 Medical Center Parkway, 110, Murfreesboro, TN 37129 | 2020-02-12 |
| 1275164162 | Seven Springs Orthopaedics, PC | Orthopaedic Surgery | 2213memorial Blvd., Suite D, Murfreesboro, TN 37129 | 2020-01-29 |
| 1255898185 | Sonja Vanetta Brown Deloatch | Social Worker | 6400 Lebanon Rd, Murfreesboro, TN 37129 | 2019-02-27 |
| 1821560137 | Zachary Ditmarsen | Chiropractor | 803 N Thompson Ln, Suite 103a, Murfreesboro, TN 37129 | 2018-12-27 |
| 1154841575 | Julia Goddeeris | Audiologist | 804 N Thompson Ln, Murfreesboro, TN 37129 | 2017-06-27 |
| 1548713100 | National Vision, Inc. | Technician/Technologist | 1993 Old Fort Pkwy, Murfreesboro, TN 37129 | 2016-08-01 |
| 1437504891 | Journeypure At The River LLC | Substance Abuse Rehabilitation Facility | 5080 Florence Rd, Murfreesboro, TN 37129 | 2016-05-04 |
| 1750763900 | Vilayvanh Saysoukha | Podiatrist | 1155 Kennedy Dr Ste 101, Murfreesboro, TN 37129 | 2015-06-24 |
| Find all providers in zip 37129 | ||||
| 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 |
|---|---|---|---|---|
| 1972148062 | Briahna Derr | Specialist/Technologist | 1363 Benley St, Murfreesboro, TN 37130-7959 | 2019-11-12 |
| 1992353940 | Razan Naseem Haj-hussein | Specialist/Technologist | 1713 North Cv, Murfreesboro, TN 37129-6078 | 2019-09-03 |
| 1902454952 | Desmond Daniels | Specialist/Technologist | 920 Greenland Dr, Murfreesboro, TN 37130-2789 | 2019-09-03 |
| 1831747880 | Alexander Kenneth Turner | Specialist/Technologist | 2543 Jackalope St, Murfreesboro, TN 37130-1550 | 2019-09-03 |
| 1386292332 | Jessica Clair Hunter | Specialist/Technologist | 5213 Mankin Mcknight Rd, Murfreesboro, TN 37127-8101 | 2019-09-03 |
| 1093363046 | Carlye Bogue | Specialist/Technologist | 3726 Manson Pike Apt 414, Murfreesboro, TN 37129-2943 | 2019-09-03 |
| 1649828690 | Ryan Nixon | Specialist/Technologist | 1955 Old Castle Dr Apt 449, Murfreesboro, TN 37127-3946 | 2019-09-03 |
| 1104301290 | Daniel Patrick Connor | Specialist/Technologist | 2207 Ambergate Dr, Murfreesboro, TN 37127-0601 | 2018-09-25 |
| 1518466770 | Andrew Charles Mcallister | Specialist/Technologist | 2211 Aspen Ave, Murfreesboro, TN 37130-5431 | 2018-02-02 |
| 1770017220 | Andrea Bates | Specialist/Technologist | 1014 Matheus Dr, Murfreesboro, TN 37128-7700 | 2017-04-11 |
| Find all providers in MURFREESBORO | ||||
| City | MURFREESBORO |
| Zip Code | 37129 |
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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.