MIKAYLA ASHLYN MOORE (NPI# 1669820130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669820130 |
| Entity Type | Individual |
| Full Name | MIKAYLA ASHLYN MOORE |
| Credential | MAT, ATC |
| Practice Address |
14701 Copper Ridge Blvd Tyler TX 75706-3364 |
| Practice Telephone | 9037143515 |
| Mailing Telephone | 9037143515 |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2000023668 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043818263 | Mikayla Denise Moore | Home Health Aide | 1138 Bonnie Ln, Mayfield Heights, OH 44124-1874 | 2020-10-09 |
| 1700407079 | Mikayla Moore | Assistant Behavior Analyst | 16930 Robbins Rd Ste 120, Grand Haven, MI 49417-2784 | 2020-04-28 |
| 1942745609 | Mikayla Moore | Case Manager/Care Coordinator | 526 Lamar St, Knoxville, TN 37917-7343 | 2017-01-04 |
| Street Address |
14701 COPPER RIDGE BLVD |
| City | TYLER |
| State | TX |
| Zip Code | 75706-3364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729621 | Hayden Lee Heath Jr. | Behavioral Analyst | 14864 Harvey Road, Tyler, TX 75706 | 2020-04-22 |
| 1801210505 | Lone Star Day Program | Clinic/Center | 14864 County Road 433, Tyler, TX 75706 | 2014-02-17 |
| 1871611921 | James F. Crenshaw | Chiropractor | 13325 Hwy 69 N, Tyler, TX 75706 | 2007-03-27 |
| 1306986450 | Barbara M Pinson | Preventive Medicine | 11721 U S Highway 69 North, Tyler, TX 75706 | 2007-02-07 |
| 1942861547 | Russell Elliott | Social Worker | 18051 Fm 2015, Tyler, TX 75706-3130 | 2019-06-25 |
| 1588169619 | Cheyenne Brittany Barrington | Assistant Behavior Analyst | 14864 County Road 433, Tyler, TX 75706-3206 | 2018-03-29 |
| 1073087854 | Kinsey Renay Arnold | Registered Nurse | 12225 County Road 41, Tyler, TX 75706-3315 | 2019-01-15 |
| 1912126772 | Thurman Clifford Erwin Jr. | Dentist | 14824 County Road 35, Tyler, TX 75706-3435 | 2007-04-24 |
| 1821441122 | Adam Grer | Specialist/Technologist | 13019 County Road 412, Tyler, TX 75706-4027 | 2016-07-21 |
| 1396041885 | Lisa Jill Vandiemen | Nurse Practitioner | 12197 Cross Fence Trl, Tyler, TX 75706-4241 | 2011-02-01 |
| Find all providers in zip 75706 | ||||
| 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 |
|---|---|---|---|---|
| 1588270953 | Aaron Gibson | Specialist/Technologist | 427 W Rieck Rd Apt 231, Tyler, TX 75703-3672 | 2020-09-21 |
| 1215545405 | Olivia I Eweni | Specialist/Technologist | 16722 Shadyridge Dr, Tyler, TX 75703-7841 | 2020-07-14 |
| 1740800549 | Amanda Arakawa | Specialist/Technologist | 411 E Se Loop 323, Tyler, TX 75701-9633 | 2020-04-21 |
| 1336771518 | Laurel Elizabeth Trail | Specialist/Technologist | 4920 Thistle Dr Apt 67, Tyler, TX 75703-2912 | 2020-02-06 |
| 1528608239 | Tyler Rediger | Specialist/Technologist | 2695 S Sw Loop 323, Tyler, TX 75701-0753 | 2020-01-10 |
| 1366088692 | Colin Mark Shillinglaw | Specialist/Technologist | 1319 Earl Campbell Pkwy, Tyler, TX 75701-9697 | 2019-11-21 |
| 1235641507 | Christopher Carlito Enriquez | Specialist/Technologist | 3202 Shenandoah Dr, Tyler, TX 75701-7449 | 2017-10-26 |
| 1821518168 | Taylor M Huffman | Specialist/Technologist | 915 E Grande Blvd Apt 1403, Tyler, TX 75703-3989 | 2017-06-27 |
| 1023548187 | Juan Fernando Melgoza Jr. | Specialist/Technologist | 13172 Tx-64, Tyler, TX 75707 | 2017-06-12 |
| 1215466370 | Laurie Nafe | Specialist/Technologist | 411 E Southeast Loop 323, Tyler, TX 75701-9633 | 2017-06-12 |
| Find all providers in TYLER | ||||
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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.