KORTNEY LAROY DELAFOSSE (NPI# 1780108647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780108647 |
| Entity Type | Individual |
| Full Name | KORTNEY LAROY DELAFOSSE |
| Credential | LAT, ATC |
| Practice Address |
2800 Alumni Blvd Jonesboro AR 72401 |
| Mailing Address |
2650 Glenn Pl Apt 57 Jonesboro AR 72404-7844 |
| Practice Telephone | 8706808310 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2017-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2800 ALUMNI BLVD |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992855241 | Julia Matthey Ellena | Specialist/Technologist | 2800 Alumni Blvd, Jonesboro, AR 72401 | 2007-01-11 |
| 1174079875 | Nicole Frushour | Specialist/Technologist | 2800 Alumni Blvd, Jonesboro, AR 72401 | 2016-09-01 |
| 1467838961 | Danae Delfin | Specialist/Technologist | 2800 Alumni Blvd, Jonesboro, AR 72401-0480 | 2015-08-06 |
| 1427466507 | Eric Brendan Ennis | Specialist/Technologist | 2800 Alumni Blvd, Jonesboro, AR 72401 | 2014-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| 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 |
|---|---|---|---|---|
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1437628047 | Bradley Belcher | Specialist/Technologist | 1891 E 600 S, Jonesboro, IN 46938-1536 | 2018-11-13 |
| 1255813200 | Isabella Weiskopf | Specialist/Technologist | 1504 Kathleen St Apt 1802, Jonesboro, AR 72401-9453 | 2018-09-05 |
| 1922528363 | Christine Jeffery | Specialist/Technologist | 5934 Rees Rd Apt 218, Jonesboro, AR 72401-9337 | 2017-06-27 |
| 1427592856 | Zankhana Patel | Specialist/Technologist | 2627 Glenn Pl, Apt 109, Jonesboro, AR 72404-7966 | 2016-12-04 |
| 1467908137 | William Rath | Specialist/Technologist | 2180 Aggie Road, Jonesboro, AR 72401 | 2016-08-31 |
| 1699127837 | Michael Chad Burke | Specialist/Technologist | 310 East Street, Ste B, Jonesboro, AR 72401 | 2016-07-12 |
| 1235587650 | Konstandena Ekaterini Brown | Specialist/Technologist | Po Box 480, Jonesboro, AR 72403-0480 | 2016-05-26 |
| 1619325263 | Kathryn Meyers | Specialist/Technologist | 1614 Latourette Ln Apt 2, Jonesboro, AR 72404 | 2016-05-24 |
| Find all providers in JONESBORO | ||||
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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.