KENNEDY ALXYA LOGSDON (NPI# 1740709732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740709732 |
| Entity Type | Individual |
| Full Name | KENNEDY ALXYA LOGSDON |
| Credential | ATC, LAT |
| Practice Address |
100 Dr. Gasmick Lane Frostburg MD 21532 |
| Practice Telephone | 3012682700 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A00984 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MARYLAND BOARD OF PHYSICIANS | A00984 | 01 |
| Street Address |
100 DR. GASMICK LANE |
| City | FROSTBURG |
| State | MD |
| Zip Code | 21532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699130419 | Jessica Bittinger | Occupational Therapy Assistant | 1 Kaylor Circle, Frostburg, MD 21532 | 2015-12-21 |
| 1689013138 | Kevin R Simonson | Psychologist | 101 Braddock Rd Frostburg State University, 101 Sand Spring Hall, Frostburg, MD 21532 | 2013-06-18 |
| 1114266897 | Tara Renee Robison | Physical Therapy Assistant | One Kaylor Circle, Frostburg, MD 21532 | 2013-01-31 |
| 1821133703 | Diane D Romaine | Dentist | 151 Bishop Murphy Drive, Frostburg, MD 21532 | 2007-02-20 |
| 1932669231 | Jennifer Lou Anto | Nurse Practitioner | 101 Braddock Rd, Frostburg, MD 21532 | 2019-03-22 |
| 1659610186 | Shanalyn Michelle Reighard | Physical Therapy Assistant | One Kaylor Circle, Frostburg, MD 21532 | 2013-02-04 |
| 1639407133 | Suanne Marie Lewis | Psychologist | 420 Crestview Dr, Frostburg, MD 21532-1100 | 2009-11-23 |
| 1265499016 | Western Maryland Health System Corporation | Skilled Nursing Facility | 48 Tarn Ter, Frostburg, MD 21532-1217 | 2006-04-26 |
| 1669545810 | Dean Andrew Mulcaster | Physical Therapy Assistant | 48 Tarn Ter, Frostburg, MD 21532-1217 | 2006-11-16 |
| 1922647486 | Axis Health At Frostburg Opco LLC | Skilled Nursing Facility | 48 Tarn Ter, Frostburg, MD 21532-1242 | 2020-01-02 |
| Find all providers in zip 21532 | ||||
| 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 |
|---|---|---|---|---|
| 1457819872 | Omowunmi Jolaoso | Specialist/Technologist | 84 Bowery St Apt 1, Frostburg, MD 21532-1832 | 2019-03-05 |
| 1912408972 | Camaran Dodge | Specialist/Technologist | 51 Ormand St, Frostburg, MD 21532-1798 | 2018-02-26 |
| 1104207992 | Michael Sweitzer Jr. | Specialist/Technologist | 145 Frost Ave, Frostburg, MD 21532-1519 | 2015-06-17 |
| 1699768085 | Donita Yvette Valentine | Specialist/Technologist | 1 Braddock Rd, Cordts Physical Education Center, Frostburg, MD 21532-2366 | 2005-08-31 |
| 1649264094 | Anthony J Zaloga | Specialist/Technologist | 101 Braddock Rd, Frostburg State University, Frostburg, MD 21532-2303 | 2005-08-31 |
| 1174136485 | Keyonna Mone Biggs | Specialist/Technologist | 101 Braddock Rd, Frostburg, MD 21532-2303 | 2020-08-26 |
| 1588276299 | Brooke Lafayette | Specialist/Technologist | 101 Braddock Rd, Frostburg, MD 21532-2303 | 2020-08-24 |
| 1902418627 | Jenneh Musu Kanu | Specialist/Technologist | 101 Braddock Rd, Frostburg, MD 21532-2303 | 2020-08-24 |
| 1548872260 | Sylvia Ann Watson | Specialist/Technologist | 101 Braddock Rd, Frostburg, MD 21532-2303 | 2020-08-24 |
| 1457963175 | Clayton Antonio Washington | Specialist/Technologist | 101 Braddock Rd, Frostburg, MD 21532-2303 | 2020-08-24 |
| Find all providers in FROSTBURG | ||||
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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.