KELLI KNIPPA (NPI# 1720625544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720625544 |
| Entity Type | Individual |
| Full Name | KELLI KNIPPA |
| Credential | LAT |
| Practice Address |
4202 44th St Lubbock TX 79413-3304 |
| Mailing Address |
311 Rancho Bueno Dr Georgetown TX 78628-9520 |
| Practice Telephone | 5122996389 |
| Mailing Telephone | 5122996389 |
| Enumeration Date | 2019-12-01 |
| Last Update Date | 2019-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
AT7689 | TX | Allopathic & Osteopathic Physicians |
| N | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
AT7689 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANY | 10585751 | 01 |
| Street Address |
4202 44TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79413-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194226654 | Heritage Birth Center, LLC | Clinic/Center | 3410 Knoxville Ave, Lubbock, TX 79413 | 2018-02-21 |
| 1992216071 | Leah Beth Deboard | Counselor | 6906 Freemont Ave, Lubbock, TX 79413 | 2017-10-17 |
| 1003357518 | Emmy Lu Henley | Dietitian, Registered | 6520 University Ave, Suite 5, Lubbock, TX 79413 | 2017-03-16 |
| 1730635129 | Katy Rebecca-franklin Poff | Dietitian, Registered | 7008 Indiana Avenue, Suite A, Lubbock, TX 79413 | 2016-08-26 |
| 1982074340 | Katricia Collins | Speech-Language Pathologist | 3403 40th St, Lubbock, TX 79413 | 2015-09-29 |
| 1750771937 | Caprock Compounding Pharmacy Inc. | Pharmacy | 3007 50th Street, Lubbock, TX 79413 | 2015-01-27 |
| 1083010250 | Max Manley | Counselor | 3312 38th St., Lubbock, TX 79413 | 2014-11-14 |
| 1124326566 | Melissa Mccauley | Midwife | 3609 38th Street, Lubbock, TX 79413 | 2011-03-09 |
| 1619138880 | Myles Freeman Sadler | Dentist | 3315 - 64th Street, Lubbock, TX 79413 | 2008-06-20 |
| 1316121320 | Michael Daniel Gomez | Psychologist | 6610 Quaker Ave, Lubbock, TX 79413 | 2007-12-27 |
| Find all providers in zip 79413 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760021018 | Kyler Luke Templeton | Physical Medicine & Rehabilitation | 3211 47th St, Lubbock, TX 79413-4112 | 2020-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095164 | Roxana Ventura | Physical Medicine & Rehabilitation | 300 North Loop Ste 300, Houston, TX 77008-2853 | 2020-02-21 |
| 1770128290 | Misty D Keim | Physical Medicine & Rehabilitation | 502 Dove Creek Dr, Round Rock, TX 78664-5920 | 2019-11-07 |
| 1720550213 | Kate Kautzky | Physical Medicine & Rehabilitation | 11200 Sean Haggerty Dr Apt 8202, El Paso, TX 79934-3390 | 2018-12-20 |
| 1720555212 | Pablo Eduardo Estrada | Physical Medicine & Rehabilitation | 3220 Montana Ave, El Paso, TX 79903-2630 | 2018-11-01 |
| 1750862652 | Heather Mcdonald | Physical Medicine & Rehabilitation | 501 Old Kyle Rd, Wimberley, TX 78676-2815 | 2018-08-28 |
| 1700380763 | Robert W Killebrew | Physical Medicine & Rehabilitation | 4401 Freidrich Ln Ste 302, Austin, TX 78744-1852 | 2018-03-22 |
| 1841701398 | Cortney Charlesworth | Physical Medicine & Rehabilitation | 12840 S Kirkwood Rd Apt 9110, Stafford, TX 77477-3848 | 2017-10-23 |
| 1538687108 | Jocelyn J Smith | Physical Medicine & Rehabilitation | 3220 Amy Donovan Plaza, Apt 10103, Austin, TX 78758 | 2017-09-05 |
| 1962889949 | Yonghoon Lee | Physical Medicine & Rehabilitation | 7200 Cambridge St Ste A10.238, Houston, TX 77030-4202 | 2015-04-29 |
| 1699106112 | Komkrit Kaewchay | Physical Medicine & Rehabilitation | 8501 N Macarthur Blvd, 0582 C/o Consultant Usa, Irving, TX 75063-4100 | 2013-12-09 |
| Find all providers with the same taxonomy | ||||
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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.