MISS KIMBERLY ANNE JENCKES (NPI# 1841274990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841274990 |
| Entity Type | Individual |
| Full Name | MISS KIMBERLY ANNE JENCKES |
| Credential | ATC |
| Practice Address |
1137 N Eola Rd Suite 106 Aurora IL 60502-7096 |
| Mailing Address |
132 Gregory St Unit E Aurora IL 60504-2077 |
| Practice Telephone | 6302366698 |
| Practice Fax Number | 6302366856 |
| Mailing Telephone | 7086382675 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1137 N EOLA RD SUITE 106 |
| City | AURORA |
| State | IL |
| Zip Code | 60502-7096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013316256 | Megan Edwards | Hearing Instrument Specialist | 1137 N Eola Rd, Suite 105, Aurora, IL 60502-7096 | 2014-08-13 |
| 1891104998 | Jaimie Bauerlein | Physical Therapist | 1137 N Eola Rd, Suite 106, Aurora, IL 60502-7096 | 2014-08-04 |
| 1568718252 | Nicholas D Testin | Physical Therapist | 1137 N Eola Rd, Suite 106, Aurora, IL 60502-7096 | 2012-07-31 |
| 1518213800 | Christopher M. Winberg | Physical Therapist | 1137 N Eola Rd, Suite 106, Aurora, IL 60502 | 2012-07-24 |
| 1609154996 | Christa Ordonez | Physical Therapist | 1137 N Eola Rd, Suite 111, Aurora, IL 60502-7096 | 2011-08-03 |
| 1568697118 | Craig Walter | Physical Therapy Assistant | 1137 N Eola Rd, Ste 106, Aurora, IL 60502-7096 | 2009-05-27 |
| 1730339334 | Dolan Family Chiropractic | Chiropractor | 1137 N Eola Rd, Suite 101, Aurora, IL 60502-7096 | 2008-09-19 |
| 1295920122 | Alorna Ann Leys | Chiropractor | 1137 N Eola Rd, Suite 101, Aurora, IL 60502-7096 | 2007-09-13 |
| 1891980033 | Collin Richard Dolan | Chiropractor | 1137 N Eola Rd, Suite 101, Aurora, IL 60502-7096 | 2007-09-11 |
| 1164626313 | Siobhan Wick | Physical Therapist | 1137 N Eola Rd, Ste. 106, Aurora, IL 60502-7096 | 2007-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750816856 | Amanda Robinson | Behavior Technician | 452 Behavioral Perspective, Aurora, IL 60502 | 2017-04-26 |
| 1982141743 | Kathleen Werrline | Behavior Technician | 452 N Eola Rd A, Aurora, IL 60502 | 2017-01-31 |
| 1700276094 | Kati Jo Clish | Developmental Therapist | 3138 Whitney Road, Aurora, IL 60502 | 2015-01-26 |
| 1821430513 | Central Du Page Hospital Assn | Non-Pharmacy Dispensing Site | 2635 Church Rd, Aurora, IL 60502 | 2013-07-23 |
| 1417219437 | Krystle Cordova Gadrinab-jones | Family Medicine | 1222 N Eola Rd Ste D, Aurora, IL 60502 | 2012-06-14 |
| 1063794642 | Jimit Baxi | Pharmacist | 2986 Kirk Road, Aurora, IL 60502 | 2011-09-09 |
| 1154532315 | Dmj Home Health Services, Inc | Home Health | 2720 E. New York St., Suite 120, Aurora, IL 60502 | 2007-05-26 |
| 1336211770 | Gary Joseph Masterson | Optometrist | 405 North Eola Rd, Suite K, Aurora, IL 60502 | 2006-11-14 |
| 1760580708 | Deborah J Riddell | Advanced Practice Midwife | 2972 Indian Trail Road, Suite A, Aurora, IL 60502 | 2006-09-21 |
| 1811001779 | Dinesh J Patel Dds PC | Dentist | 405 N Eola Rd, #l, Aurora, IL 60502 | 2006-08-18 |
| Find all providers in zip 60502 | ||||
| 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] |
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|---|---|---|---|---|
| 1396357190 | Kayla Cable | Specialist/Technologist | 16100 E Smoky Hill Rd, Aurora, CO 80015-1751 | 2020-08-21 |
| 1881219640 | Carter Semancik | Specialist/Technologist | 110 Pinehurst Dr, Aurora, OH 44202-8078 | 2020-06-08 |
| 1740827005 | Codi Jarmond | Specialist/Technologist | 26049 E Davies Dr, Aurora, CO 80016-6099 | 2019-12-05 |
| 1306406004 | Caitlyn Elwart | Specialist/Technologist | 1870 Westfield Dr Apt 13, Aurora, IL 60504-5334 | 2019-06-17 |
| 1801456595 | Adrian Cruz Hernandez | Specialist/Technologist | 17327 E Adriatic Pl Apt W208, Aurora, CO 80013-4889 | 2019-06-16 |
| 1316402662 | Elora Pixler | Specialist/Technologist | 14820 E Ohio Ave, Aurora, CO 80012-3770 | 2019-01-31 |
| 1295290542 | Zachary Matthew Zinzer | Specialist/Technologist | 211 S Evanslawn Ave, Aurora, IL 60506-4644 | 2019-01-31 |
| 1497219596 | Rebecca Pearson | Specialist/Technologist | 2470 Coach and Surrey Ln, Aurora, IL 60506-4452 | 2019-01-23 |
| 1578045100 | Lyndsay Piche | Specialist/Technologist | 10339 Apple Tree Ct, Aurora, IN 47001-9611 | 2018-08-30 |
| 1801392386 | Guillermo Rodriguez | Specialist/Technologist | 534 Jackson St, Aurora, IL 60505-4732 | 2018-04-03 |
| Find all providers in AURORA | ||||
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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.