MRS. KELLY G MIRUS (NPI# 1811335961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811335961 |
| Entity Type | Individual |
| Full Name | MRS. KELLY G MIRUS |
| Credential | ATC |
| Practice Address |
5161 Ralph Ave Cincinnati OH 45238 |
| Practice Telephone | 5133682721 |
| Mailing Telephone | 5133682721 |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT.002038 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5161 RALPH AVE |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860588 | Corey Allison | Case Manager/Care Coordinator | 312 Glenmore Ave. Ste 14, Cincinnati, OH 45238 | 2020-10-29 |
| 1366077174 | Lawanda Antoinette Price | Counselor | 5122 Glenway Crossing Way, Cincinnati, OH 45238 | 2020-03-12 |
| 1639715808 | Bullock Dialysis LLC | Clinic/Center | 2290 Ferguson Rd, Cincinnati, OH 45238 | 2019-11-22 |
| 1629547021 | Abigail M Rebholz | Speech-Language Pathologist | 2039 Anderson Ferry Rd, Cincinnati, OH 45238 | 2018-11-15 |
| 1942667548 | Lashawnda C Gaston | Military Health Care Provider | 1322 Le Mar Dr, Cincinnati, OH 45238 | 2016-01-27 |
| 1134598402 | Abbie Crookham | Registered Nurse | 2146 Ferguson Rd., Cincinnati, OH 45238 | 2015-09-17 |
| 1518341346 | Kenyatta Shena Mccrary | Home Health Aide | 831 Greenwich Ave, Cincinnati, OH 45238 | 2015-07-10 |
| 1225431893 | Brooke Whalen | Dental Assistant | 2146 Ferguson Road, Cincinnati, OH 45238 | 2014-09-26 |
| 1669885588 | Moussa Demba | Medicare Defined Swing Bed Unit | 2484 Queen City Ave Apt 7, Cincinnati, OH 45238 | 2014-06-09 |
| 1922373596 | Nicholas L. Hoesl | Pharmacist | 5745 Glow Ct., Cincinnati, OH 45238 | 2012-03-15 |
| Find all providers in zip 45238 | ||||
| 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 |
|---|---|---|---|---|
| 1386262939 | Karl H Quilligan | Specialist/Technologist | 1043 Holz Ave, Cincinnati, OH 45230-3644 | 2020-07-10 |
| 1922636679 | Emi Matsuno | Specialist/Technologist | 2751 O'varsity Way Suite 265, Cincinnati, OH 45221-0001 | 2020-03-30 |
| 1093342164 | Philip Montano | Specialist/Technologist | 2571 O'varsity Way Suite 265, Cincinnati, OH 45221-0001 | 2020-03-26 |
| 1558913632 | Mollie Borcherding | Specialist/Technologist | 3600 Victory Pkwy, Cincinnati, OH 45207 | 2019-07-10 |
| 1518529767 | Tyler Smith | Specialist/Technologist | 6847 Stewart Rd Apt 323, Cincinnati, OH 45236-4258 | 2019-07-08 |
| 1104380674 | Alexis Murphy | Specialist/Technologist | 11981 Elkwood Dr, Cincinnati, OH 45240-1521 | 2019-01-29 |
| 1003386137 | Katie Cornell | Specialist/Technologist | 2862 Deerhaven Dr, Cincinnati, OH 45244-4524 | 2018-12-02 |
| 1396213559 | Carolyn Stockwell | Specialist/Technologist | 4460 Red Bank Rd Ste 110, Cincinnati, OH 45227-2173 | 2018-11-06 |
| 1992288583 | Craig Donald Lindsey | Specialist/Technologist | 9001 Montgomery Rd, Cincinnati, OH 45242-7711 | 2018-09-11 |
| 1023504230 | Dalton Alan Davis | Specialist/Technologist | 3800 Victory Pkwy Unit 1, Cincinnati, OH 45207-1092 | 2018-07-11 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45238 |
Please comment or provide details below to improve the information on MRS. KELLY G MIRUS.
| 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.