MR. JASON THEODORE EVERHARDT


Address: 121 Hazelwood Dr, Apt. L130, Hendersonville, TN 37075-5370
Phone: 6159447224

MR. JASON THEODORE EVERHARDT (NPI# 1720016835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720016835
Entity Type Individual
Full Name MR. JASON THEODORE EVERHARDT
Credential ATC
Practice Address 121 Hazelwood Dr
Apt. L130
Hendersonville
TN 37075-5370
Mailing Address 121 Hazelwood Dr.
Apt L 130
Hendersonville
TN 37075
Practice Telephone 6159447224
Mailing Telephone 6159447224
Enumeration Date 2006-06-29
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
870 TN Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 121 HAZELWOOD DR
APT. L130
City HENDERSONVILLE
State TN
Zip Code 37075-5370

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1003379108 Infusion Express of Tennessee, PC Clinic/Center 1006 Glenbrook Way, Ste 130, Hendersonville, TN 37075 2019-04-08
1417414335 Red Owl Industries, LLC Chiropractor 16 Executive Park Dr # 100, Hendersonville, TN 37075 2019-02-27
1992203368 Cassie Berman Occupational Therapist 209 Shivel Drive, Hendersonville, TN 37075 2018-01-31
1407379373 Hendersonville Smiles Dentistry, PC Dentist 1002 Glenbrook Way, Suite 200, Hendersonville, TN 37075 2017-07-21
1215483466 Ryan Escue Registered Nurse 4221 Harding Pike, Nashville, TN 37075 2016-08-28
1003279589 Grant Anderson Physician Assistant 211 Indian Lake Bloulevard, Hendersonville, TN 37075 2016-04-01
1073974192 Jennifer Kramer Nurse Practitioner 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 2016-03-16
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871066043 Nadine Langsdorf Specialist/Technologist 117 Shannon Rd, Hendersonville, NC 28791-9762 2019-01-09
1720551625 Alec Fletcher Worrell Specialist/Technologist 248 S Vista Dr, Hendersonville, NC 28739-7370 2019-01-03
1932626975 Eliza Brooks Parker Specialist/Technologist 3136 Charlyne Dr, Hendersonville, NC 28792-1123 2017-08-29
1144680315 Catherine Alexandria Wellendorf Specialist/Technologist 3126 Long Hollow Pike, Hendersonville, TN 37075 2016-03-02
1023433869 Josh Owen Specialist/Technologist 3946 Staton Rd, Hendersonville, NC 28739-6579 2014-03-04
1972006922 Olivia Smith Specialist/Technologist 212 Thompson St Ste B, Hendersonville, NC 28792 2018-03-16
1689791345 Timothy Sean Auwarter Specialist/Technologist 800 N Justice St, Hendersonville, NC 28791-3410 2007-03-26
1144374323 Laura Kristen Husak Specialist/Technologist 204 S King St, Hendersonville, NC 28792-5059 2007-01-23
1548338049 Katherine Jessie White Specialist/Technologist 204 S King St, Hendersonville Sports Medicine & Rehabilitation, Hendersonville, NC 28792-5059 2006-12-01
1467520932 Dwayne Durham Specialist/Technologist 204 S King St, Hendersonville, NC 28792-5059 2006-12-01
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City HENDERSONVILLE
Zip Code 37075

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Dataset Information

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.

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