EVERETT MORGAN BOUTWELL (NPI# 1831653427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831653427 |
| Entity Type | Individual |
| Full Name | EVERETT MORGAN BOUTWELL |
| Practice Address |
100 Bulldog Dr Smyrna TN 37167-4445 |
| Practice Telephone | 6159043865 |
| Mailing Telephone | 6159043865 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1714 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
100 BULLDOG DR |
| City | SMYRNA |
| State | TN |
| Zip Code | 37167-4445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708864 | Results-ast Jv, LLC | Physical Therapist | 741 Presidents Place, Suite 130, Smyrna, TN 37167 | 2020-10-21 |
| 1659834455 | Jemima Mensah | Nurse Practitioner | 433 Nissan Dr Ste 301, Smyrna, TN 37167 | 2019-04-09 |
| 1538645395 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 111 Movie Row, Smyrna, TN 37167 | 2018-07-16 |
| 1932699915 | Jessica Jones | Physical Therapist | 8414, 1173 Rock Springs Rd, Suite 105, Smyrna, TN 37167 | 2018-05-15 |
| 1962920256 | Faithful Horizons Support Services, Inc. | Respite Care | 204 Spirit Hill Circle, Smyrna, TN 37167 | 2017-09-06 |
| 1386185270 | Marie Murphy | Counselor | 695 President Place, Ste 202, Smyrna, TN 37167 | 2017-03-13 |
| 1932556990 | Tamara Tucker | Social Worker | 680 Windellwood Circle, Smyrna, TN 37167 | 2016-05-19 |
| 1861861056 | Tennessee Dental Professionals, PC | Dentist | 840 Nissan Drive, Smyrna, TN 37167 | 2015-09-18 |
| 1669840211 | Smyrna Modern Dentistry, PC | Dentist | 160 Movie Row, Smyrna, TN 37167 | 2015-09-11 |
| 1548636970 | Hometown Respiratory Consultants Inc | Durable Medical Equipment & Medical Supplies | 13181 Old Nashville Hwy Ste 120, Smyrna, TN 37167 | 2015-08-19 |
| Find all providers in zip 37167 | ||||
| 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 |
|---|---|---|---|---|
| 1346855400 | Aran A Porte | Specialist/Technologist | 204 Century Dr, Smyrna, DE 19977-4476 | 2020-09-14 |
| 1003436015 | Valerie Hope Todd | Specialist/Technologist | 255 Plantation Rd Sw, Smyrna, GA 30082-3046 | 2020-04-20 |
| 1982167789 | Marcus A Underwood | Specialist/Technologist | 123 Vinings Pkwy Se, Smyrna, GA 30080-3863 | 2019-04-09 |
| 1417456674 | Kasey Sohmer | Specialist/Technologist | 2205 Lake Park Dr Se Apt N, Smyrna, GA 30080-8970 | 2018-02-02 |
| 1851838031 | Kiera Lane | Specialist/Technologist | 8521 Cumberland Glen Ln Se, Smyrna, GA 30080-4049 | 2017-01-25 |
| 1235505066 | Robert Carlos Avila Jr. | Specialist/Technologist | 5265 Ward St Se, Smyrna, GA 30080-1944 | 2015-08-16 |
| 1881083236 | Joshua Haley | Specialist/Technologist | 400 Chaney Rd Apt 1402, Smyrna, TN 37167 | 2015-01-22 |
| 1982092169 | Lauren Anne Brueck | Specialist/Technologist | 1218 Walton Ln Se, Smyrna, GA 30082-3873 | 2014-12-22 |
| 1861892697 | Andrew Medlock | Specialist/Technologist | 1925 Cooper Landing Dr Se, Smyrna, GA 30080-6464 | 2014-08-28 |
| 1922235431 | Aya Ieki | Specialist/Technologist | 421 Tibarron Pkwy Se, Smyrna, GA 30080-7282 | 2009-06-11 |
| Find all providers in SMYRNA | ||||
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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.