JESSICA M MADDOX (NPI# 1720632755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720632755 |
| Entity Type | Individual |
| Full Name | JESSICA M MADDOX |
| Credential | LAT |
| Practice Address |
1100 S Coulter St Amarillo TX 79106-1836 |
| Practice Telephone | 8064689700 |
| Practice Fax Number | 8063222344 |
| Mailing Telephone | 8064689700 |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT2929 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801281175 | Jessica Maddox | Pediatrics | 2762 23rd St, San Francisco, CA 94110-3442 | 2015-04-02 |
| 1669027462 | Jessica Maddox | Physical Therapist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2019-08-08 |
| 1598209231 | Jessica Maddox | Social Worker | 1017 Fayetteville Rd Se, Suite B, Atlanta, GA 30316-2932 | 2016-12-15 |
| Street Address |
1100 S COULTER ST |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-1836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679510135 | Keith D Bjork | Specialist | 1100 S Coulter St, Amarillo, TX 79106-1836 | 2006-06-01 |
| 1841819042 | Tyla Naylor | Physical Therapist | 1100 S Coulter St, Amarillo, TX 79106-1836 | 2020-04-09 |
| 1811554694 | Skyler Lee Gallegos | Physician Assistant | 1100 S Coulter St, Amarillo, TX 79106-1836 | 2019-05-28 |
| 1770931891 | Eric Bass | Occupational Therapist | 1100 S Coulter St, Amarillo, TX 79106-1836 | 2016-05-31 |
| 1114304813 | Tabitha Lynn Eggemeyer | Licensed Vocational Nurse | 1100 S Coulter St, Amarillo, TX 79106-1836 | 2015-05-01 |
| 1356733679 | Morgan E Gideon | Registered Nurse | 1100 S Coulter St, Amarillo, TX 79106-1836 | 2015-02-24 |
| 1275931495 | Ashley Whitley | Specialist/Technologist, Other | 1100 S Coulter St, Amarillo, TX 79106-1836 | 2014-12-22 |
| 1811394752 | Mason Kizziar | Registered Nurse | 1100 S Coulter St, Amarillo, TX 79106-1836 | 2014-11-20 |
| 1205233269 | Amarillo Bone & Joint Clinic, LLP | Specialist/Technologist, Other | 1100 S Coulter St, Amarillo, TX 79106-1836 | 2014-11-19 |
| 1851793806 | Jeremy Gipson | Registered Nurse | 1100 S Coulter St, Amarillo, TX 79106-1836 | 2014-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| 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 |
|---|---|---|---|---|
| 1740802537 | William John Heim | Specialist/Technologist | 1616 S Kentucky St Ste A116, Amarillo, TX 79102-2250 | 2020-05-14 |
| 1487116463 | Darci Susanna Duncan | Specialist/Technologist | 3721 Langtry Dr, Amarillo, TX 79109-3925 | 2019-04-01 |
| 1609377951 | Rebecca J Borden | Specialist/Technologist | 3705 Patterson Dr, Amarillo, TX 79109-4607 | 2018-02-22 |
| 1639549363 | Kaylee Elisabeth Shores | Specialist/Technologist | 7204 Calumet Rd, Amarillo, TX 79106-2704 | 2015-10-07 |
| 1427313774 | Charles Legmeg | Specialist/Technologist | 3001 Se 34th Ave, Amarillo, TX 79103-5599 | 2012-07-11 |
| 1326324989 | Aaron Watson | Specialist/Technologist | 3921 Westlawn St, Amarillo, TX 79102-1795 | 2011-10-27 |
| 1760476261 | William Ronald Hulsey | Specialist/Technologist | 6022 W 48th Ave, Amarillo, TX 79109-7504 | 2005-09-12 |
| 1821446865 | Michelle Breaux | Specialist/Technologist | 7000 W 9th Ave, Amarillo, TX 79106 | 2016-06-01 |
| 1023225984 | Brian Wade Mullins | Specialist/Technologist | 7000 W 9th Ave, Amarillo, TX 79106-1709 | 2007-05-17 |
| 1568451854 | Amelia F. Settles | Specialist/Technologist | 6022 W 48th Ave, Amarillo, TX 79109-7504 | 2005-10-19 |
| Find all providers in AMARILLO | ||||
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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.