JEREMY TATE JOHNSON (NPI# 1801274550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801274550 |
| Entity Type | Individual |
| Full Name | JEREMY TATE JOHNSON |
| Credential | ATC |
| Practice Address |
1637 Perryville Rd. Boyle County High School Danville KY 40422 |
| Practice Telephone | 8592365047 |
| Practice Fax Number | 8592366826 |
| Mailing Telephone | 8592365047 |
| Mailing Fax Number | 8592366826 |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT907 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243493 | Jeremy Johnson | Specialist/Technologist, Other | 1016 Winding Way Dr, Georgetown, TX 78628-5201 | 2020-07-24 |
| 1801421409 | Jeremy Ray Johnson | Chiropractor | 4155 N Steele Blvd Ste 10, Fayetteville, AR 72703-5377 | 2020-03-04 |
| 1578197984 | Jeremy Ezra Johnson | Specialist/Technologist | 331 Tramway Dr # 16, Stateline, NV 89449-9812 | 2020-02-24 |
| 1194368779 | Jeremy Paul Johnson | Acupuncturist | 1500 W Farwell Ave Apt 3, Chicago, IL 60626-3666 | 2019-10-25 |
| 1457838922 | Jeremy Braxton Johnson | Dietitian, Registered | 283 Walnut St, Baxley, GA 31513-0954 | 2018-07-26 |
| 1306384524 | Jeremy Johnson | Physical Therapy Assistant | 653 Golden Trl, Cave City, AR 72521-9432 | 2017-02-08 |
| 1992186530 | Jeremy Johnson | Student in an Organized Health Care Education/Training Program | 1141 154th Ave Ne, Mayville, ND 58257 | 2015-06-09 |
| 1811374549 | Jeremy V Johnson | Family Medicine | 500b Jefferson Blvd Ste 180, West Sacramento, CA 95605-2394 | 2015-05-01 |
| 1902200660 | Jeremy Johnson | Counselor | 1022 N Prospect St, Bowling Green, OH 43402-1335 | 2014-10-09 |
| 1932488822 | Jeremy Edward Johnson | Pharmacist | 2412 N. Heritage St., Kinston, NC 28501 | 2011-08-09 |
| Street Address |
1637 PERRYVILLE RD. BOYLE COUNTY HIGH SCHOOL |
| City | DANVILLE |
| State | KY |
| Zip Code | 40422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098754 | Healthstat Onsite Clinic Centre College | Preventive Medicine | 851 West Walnut St, Danville, KY 40422 | 2020-03-19 |
| 1134772288 | Austin Simpson | Physician Assistant | 217 South 3rd Street, Danville, KY 40422 | 2019-07-18 |
| 1033677695 | Shannon Holland Erwin | Counselor | 475 W Main St Suite 160, Danville, KY 40422 | 2019-03-03 |
| 1225556871 | Fallon Michelle Carnes | Counselor | 106 Belinda Blvd., Danville, KY 40422 | 2017-09-05 |
| 1780124529 | Natasha Taylor | Counselor | 461 South 4th Street, Danville, KY 40422 | 2017-02-27 |
| 1184088890 | Elizabeth Love | Counselor | 108 Saint Josephs Ct, Danville, KY 40422 | 2016-04-08 |
| 1649602228 | Susan Hale Couzens | Dentist | 435 Whirlaway Dr, Danville, KY 40422 | 2013-08-06 |
| 1265751200 | William Paul Baas | Ophthalmology | 440 W. Martin L. King Blvd., Suite 100, Danville, KY 40422 | 2010-05-28 |
| 1780823666 | Karen Totsuka IIi | Speech-Language Pathologist | 642 Nth 3rd St, Danville, KY 40422 | 2009-02-17 |
| 1053574160 | Craig Holt Alexander | Pediatrics | 305 S. 4th Street #201, Danville, KY 40422 | 2008-07-08 |
| Find all providers in zip 40422 | ||||
| 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 |
|---|---|---|---|---|
| 1053979666 | Anja Enstrom | Specialist/Technologist | 248 Valle Vista Dr, Danville, CA 94526-1653 | 2019-05-30 |
| 1225520745 | Lilly Finley | Specialist/Technologist | 3571 N County Road 500 E, Danville, IN 46122 | 2018-05-31 |
| 1053835579 | Joshua N Jones | Specialist/Technologist | 152 N Jefferson St, Danville, IN 46122-1138 | 2017-07-26 |
| 1649708850 | Michelle Nicole Kolander | Specialist/Technologist | 209 Rutherford Dr, Danville, CA 94526 | 2017-06-01 |
| 1649718412 | Allison Rowe | Specialist/Technologist | 131 Rassani Dr, Danville, CA 94506-1301 | 2017-02-01 |
| 1518410802 | Rhyan Nicole Scearce | Specialist/Technologist | 124 Sellers Rd, Danville, VA 24540-5535 | 2016-08-03 |
| 1407219637 | Brennan Loraine Hadley | Specialist/Technologist | 3505 Prairie View Cir, Apt G, Danville, IN 46122-8612 | 2016-04-04 |
| 1639536667 | Marie Summers | Specialist/Technologist | 2170 S State Road 39, Danville, IN 46122-8002 | 2016-01-21 |
| 1053796961 | Jashaad Gilmore | Specialist/Technologist | 176 Laramie Cir, Danville, VA 24541-6324 | 2015-07-22 |
| 1740679976 | Stefan Scott Varner | Specialist/Technologist | 707 Mount Cross Rd, Danville, VA 24540-5905 | 2015-01-12 |
| Find all providers in DANVILLE | ||||
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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.