JENNIFER KRUG (NPI# 1841410057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841410057 |
| Entity Type | Individual |
| Full Name | JENNIFER KRUG |
| Credential | ATC |
| Practice Address |
5000 Deer Park Dr Se Salem OR 97317 |
| Practice Telephone | 5035898193 |
| Practice Fax Number | 5033152947 |
| Mailing Telephone | 5035898193 |
| Mailing Fax Number | 5033152947 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2007-07-08 |
| 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-AT-051627 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972973733 | Jennifer Krug | Psychologist | 5151 E Broadway Blvd, Ste 1600, Tucson, AZ 85711-3777 | 2015-10-05 |
| Street Address |
5000 DEER PARK DR SE |
| City | SALEM |
| State | OR |
| Zip Code | 97317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730285859 | Jennifer D Garrard | Specialist/Technologist | 5000 Deer Park Dr Se, Salem, OR 97317-9392 | 2006-09-16 |
| 1023628419 | Santiam Memorial Hospital | Clinic/Center | 5000 Deer Park Dr Se, Salem, OR 97317-9392 | 2020-07-31 |
| 1831319300 | Anthony Lee Walther | Specialist/Technologist | 5000 Deer Park Dr Se, Salem, OR 97301-9330 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962932996 | Corinna Leona Zib | Counselor | 4726 Appaloosa Ct Se, Salem, OR 97317 | 2017-06-13 |
| 1639537889 | Nikole Stormo | Massage Therapist | 4675 Campbell Dr Se Apt267, Salem, OR 97317 | 2016-02-03 |
| 1174698971 | Christian Community Placement Center | Foster Care Agency | 4890 32nd Ave Se, Salem, OR 97317 | 2006-11-21 |
| 1235653569 | Alexis Panther | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317 | 2017-07-28 |
| 1114479128 | Jocelyn Gran | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97317 | 2016-10-26 |
| 1649498262 | Carol Adams | Social Worker | 1164 63rd Ave Ne, Salem, OR 97317-2313 | 2007-04-20 |
| 1992114490 | Pathways - Child and Family Services - LLC | Community/Behavioral Health | 1164 63rd Ave Ne, Salem, OR 97317-2313 | 2014-08-08 |
| 1417513235 | James Matthew Conway | Social Worker | 5100 Center St Ne, Salem, OR 97317-3217 | 2019-05-16 |
| 1043876865 | Home Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5100 Center St Ne, Salem, OR 97317-3217 | 2019-05-16 |
| 1689086530 | Ruben Chekhov | Dental Hygienist | 4932 Turquoise Ave Se, Salem, OR 97317-4109 | 2014-05-27 |
| Find all providers in zip 97317 | ||||
| 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 |
|---|---|---|---|---|
| 1992354435 | Christopher J Sousa | Specialist/Technologist | 10 Gibney Cir, Salem, NH 03079-4406 | 2019-09-07 |
| 1295236081 | Melissa Trainor | Specialist/Technologist | 64 Salem St, Salem, MA 01970-4935 | 2018-02-27 |
| 1073021481 | David Lloyd Kennedy Jr. | Specialist/Technologist | 330 Round Hill Rd, Salem, CT 06420-3832 | 2018-01-19 |
| 1508372202 | Meghan Elizabeth Claflin | Specialist/Technologist | 225 Canal St, Salem, MA 01970-4554 | 2017-12-18 |
| 1437678265 | Kaitlyn Quigley | Specialist/Technologist | 28 Dearborn St, Salem, MA 01970-2451 | 2017-09-13 |
| 1003338666 | Rachel Blazich | Specialist/Technologist | 25 General Pulaski Drive, Salem, NH 03079 | 2017-07-14 |
| 1912437534 | Shawna Regan | Specialist/Technologist | 64 Butler St, Salem, MA 01970 | 2017-06-15 |
| 1740729409 | Adam Tolley | Specialist/Technologist | 353 Glen Creek Rd Nw, Salem, OR 97304-3000 | 2017-02-14 |
| 1174066534 | Stephen Navarra | Specialist/Technologist | 1392 E Pershing St, Salem, OH 44460-2337 | 2016-12-02 |
| 1104274489 | Dakota Deamicis | Specialist/Technologist | 7777 W. Middletown Rd, Salem, OH 44460 | 2016-05-27 |
| Find all providers in SALEM | ||||
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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.