JESSE LEE FREE (NPI# 1710362967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710362967 |
| Entity Type | Individual |
| Full Name | JESSE LEE FREE |
| Credential | MA, LAT, ATC |
| Practice Address |
737 Logan Ave North Mc 9c-01 Renton WA 98057-0000 |
| Mailing Address |
607 Dewey Ave Nw Suite 300 Grand Rapids MI 49504-7335 |
| Practice Telephone | 4255122704 |
| Mailing Telephone | 4255122704 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A160483105 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
737 LOGAN AVE NORTH MC 9C-01 |
| City | RENTON |
| State | WA |
| Zip Code | 98057-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856628 | Megan Ramaiya | Student in an Organized Health Care Education/Training Program | King Count Sexual Assault & Resource Center, 200 Mill Ave S # 10, Renton, WA 98057 | 2019-11-19 |
| 1063076255 | Breanne Michele Smiley | Specialist/Technologist | 737 Logan Ave N, Renton, WA 98057 | 2019-04-24 |
| 1093215063 | Laura Lewis | Physical Medicine & Rehabilitation | 1000 Oakesdale Ave Sw Ste 100, Renton, WA 98057 | 2018-02-16 |
| 1437676004 | Ralph William Papke Jr. | Counselor | Kaiser Permanente of Wa, 1200 Sw 27th St, Renton, WA 98057 | 2017-08-24 |
| 1487106456 | Serengeti Care Partners LLC | Community/Behavioral Health | 707 S- Grady Way, Suite 6008, Renton, WA 98057 | 2016-10-26 |
| 1548716152 | Phandinh Ngoc Nguyen | Naturopath | 330 Sw 43rd St,suite L, Renton, WA 98057 | 2016-09-01 |
| 1275905721 | Todd R Glass | Chiropractor | 1024 N 10th Pl #2306, Renton, WA 98057 | 2015-10-23 |
| 1134595341 | Have A Heart | Case Management | 151 Taylor Ave Nw, Renton, WA 98057 | 2015-08-12 |
| 1780087171 | Brianne N Lefferts | Physical Therapist | 300 Sw 7th Street, Renton, WA 98057 | 2014-09-30 |
| 1588089460 | Sound Association Western Washington LLC | Audiologist | 108 Factory Ave. N., Ste 2b, Renton, WA 98057 | 2014-02-28 |
| Find all providers in zip 98057 | ||||
| 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 |
|---|---|---|---|---|
| 1063076255 | Breanne Michele Smiley | Specialist/Technologist | 737 Logan Ave N, Renton, WA 98057 | 2019-04-24 |
| 1285168948 | Marisa Ann Manus | Specialist/Technologist | 14520 Se 196th Pl, Renton, WA 98058-9415 | 2017-04-19 |
| 1851746911 | Hailey Anne Wiest | Specialist/Technologist | 15233 Se 175th Pl, Renton, WA 98058-9088 | 2016-04-26 |
| 1508210154 | Lucy Johnson | Specialist/Technologist | 11808 Se 172nd Ln Apt N303, Renton, WA 98058 | 2016-04-20 |
| 1891131397 | Christopher Jon Neumann | Specialist/Technologist | 12 Seahawks Way, Renton, WA 98056-1572 | 2013-05-11 |
| 1174898225 | Geniqua M Harris | Specialist/Technologist | 232 Burnett Ave S, Apt B304, Renton, WA 98057-2107 | 2012-03-21 |
| 1417169970 | Larry Gene Brown | Specialist/Technologist | 16655 Se 136th St, Renton, WA 98059-6950 | 2007-05-04 |
| 1801369368 | Trevor Franklin Merritt | Specialist/Technologist | 12 Seahawks Way, Renton, WA 98056-1572 | 2019-01-08 |
| 1255807319 | Mackenzie Leigh Marques | Specialist/Technologist | 12 Seahawks Way, Renton, WA 98056-1572 | 2018-10-16 |
| 1821508268 | Ian Anderson | Specialist/Technologist | 4011 Talbot Rd S Ste 300, Renton, WA 98055-5791 | 2017-10-11 |
| Find all providers in RENTON | ||||
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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.