KATELYN MCGONIGLE (NPI# 1669993846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669993846 |
| Entity Type | Individual |
| Full Name | KATELYN MCGONIGLE |
| Credential | ATC |
| Practice Address |
5228 Adobe Rd Apt C Twentynine Palms CA 92277-1895 |
| Practice Telephone | 5086806850 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT6558 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5228 ADOBE RD APT C |
| City | TWENTYNINE PALMS |
| State | CA |
| Zip Code | 92277-1895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699737 | William Bill Ngo | Dentist | 1591 Griffin Road Mcagcc, Twentynine Palms, CA 92277 | 2020-11-06 |
| 1932755352 | Candace Irene Myer | Registered Nurse | Mcagcc Mccs Stepping Stones, Del Zalle Dr Building 693, Twentynine Palms, CA 92277 | 2019-08-12 |
| 1831759018 | Courtney Vindigni | Student in an Organized Health Care Education/Training Program | Twentynine Palms, Fpo, AA 92277 | 2019-06-19 |
| 1841857612 | Jasmine E Gomez | Behavior Technician | 8315 Argos Rd, Unit A, 29 Palms, CA 92277 | 2019-05-28 |
| 1861961955 | Golam Subhani Chowdhury | Physician Assistant | 1st Marine Division 7th Marine Regiment, Twentynine Palms, CA 92277 | 2018-11-19 |
| 1093283202 | James Degracie | Dentist | 1519 Griffin Rd, Twentynine Palms, CA 92277 | 2018-11-06 |
| 1659829141 | Sang Eun Lee Dental Corp | Dentist | 72724 Twentynine Palms Hwy #102, Twentynine Palms, CA 92277 | 2016-09-14 |
| 1396115374 | Sarah Camille Paje | Dentist | 1591 Griffin Road, Twentynine Palms, CA 92277 | 2015-10-02 |
| 1053733527 | Hi-desert Memorial Health Care District | Clinic/Center | 72724 29 Palms Hwy Ste 103, 29 Palms, CA 92277 | 2014-01-17 |
| 1871897389 | An Nguyen Dds Prof Corp | Dentist | 73666 Joshua Dr., Twentynine Palms, CA 92277 | 2010-12-28 |
| Find all providers in zip 92277 | ||||
| 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] |
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| 1003417981 | David Yudis | Specialist/Technologist | 82 Victoria Ste 201, Newport Beach, CA 92660-9009 | 2020-11-05 |
| 1790385466 | Tamia Shoshone | Specialist/Technologist | 2823 Diaz Lane, Bishop, CA 93514 | 2020-10-30 |
| 1639779630 | Taylor Anderson | Specialist/Technologist | 3320 Honolulu Ave Apt 11, La Crescenta, CA 91214-3389 | 2020-10-28 |
| 1548869571 | Joshua Watersjackson | Specialist/Technologist | 430406 Las Pulgas, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1063011278 | Hilary Ann King | Specialist/Technologist | 824 W Maple Ave, Tulare, CA 93274-2609 | 2020-10-19 |
| 1568069854 | Tess Buchanan | Specialist/Technologist | 4480 Leatherwood Ct, Concord, CA 94521-4416 | 2020-10-08 |
| 1407453343 | Peter Wang | Specialist/Technologist | 3034 Belmont Dr, Lodi, CA 95242-9732 | 2020-10-05 |
| 1164029138 | Marisa Angelina Terrazas | Specialist/Technologist | 1416 Rampart Dr, Roseville, CA 95661-4749 | 2020-10-02 |
| 1427665645 | Alvaro Juarez Jr. | Specialist/Technologist | 31550 Palomar Rd, Menifee, CA 92584-9258 | 2020-09-30 |
| 1407462237 | Lorenzo Aguirre | Specialist/Technologist | 1836 Lapham Dr, Modesto, CA 95354-3900 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | TWENTYNINE PALMS |
| Zip Code | 92277 |
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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.