KODY ANDERSON (NPI# 1902384936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902384936 |
| Entity Type | Individual |
| Full Name | KODY ANDERSON |
| Practice Address |
1525 W Lincoln Hwy Dekalb IL 60115-3989 |
| Practice Telephone | 8152431824 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096003785 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215238753 | Kody Anderson | Counselor | 4800 E. 17160 N, Moroni, UT 84646 | 2010-11-16 |
| Street Address |
1525 W LINCOLN HWY |
| City | DEKALB |
| State | IL |
| Zip Code | 60115-3989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598862492 | Christopher James Joseph | Specialist/Technologist | 1525 W Lincoln Hwy, Convocation Center, Dekalb, IL 60115-3989 | 2006-09-20 |
| 1578119699 | Emily Belcher | Emergency Medicine | 1525 W Lincoln Hwy, Dekalb, IL 60115-3989 | 2019-08-14 |
| 1922505684 | Pablo Valencia-garcia | Specialist/Technologist | 1525 W Lincoln Hwy, Dekalb, IL 60115-3989 | 2018-04-10 |
| 1538606132 | Kelsey Cannon | Specialist/Technologist | 1525 W Lincoln Hwy, Dekalb, IL 60115-3989 | 2017-01-21 |
| 1316484041 | Jill Pohlman | Specialist/Technologist | 1525 W Lincoln Hwy, Dekalb, IL 60115-3989 | 2017-01-19 |
| 1619414307 | William Eugene Kerr IIi | Specialist/Technologist | 1525 W Lincoln Hwy, Dekalb, IL 60115-3989 | 2017-01-19 |
| 1144766825 | Nathan Reed | Specialist/Technologist | 1525 W Lincoln Hwy, Dekalb, IL 60115-3989 | 2017-01-18 |
| 1043621485 | Matthew David Kuehl | Specialist/Technologist | 1525 W Lincoln Hwy, Dekalb, IL 60115-3989 | 2014-05-19 |
| 1780990051 | Northern Illinois University | Clinic/Center | 1525 W Lincoln Hwy, Suite 170-niu Athletic Training, Dekalb, IL 60115-3989 | 2010-08-25 |
| 1063656163 | Natalie R Meckstroth | Specialist/Technologist | 1525 W Lincoln Hwy, Dekalb, IL 60115-3989 | 2009-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372179 | Megan Erhart | Counselor | 304 N. 6th Street, Dekalb, IL 60115 | 2020-09-28 |
| 1689141616 | Stephanie Klewin | Psychologist | 631 S 1st Street, Dekalb, IL 60115 | 2018-10-29 |
| 1164902219 | Kimberly Ann Hart | Counselor | 290 N. Annie Glidden Drive, Gh 416, Niu, Dekalb, IL 60115 | 2018-08-17 |
| 1497235824 | Cory David Michael Hayden | Specialist/Technologist | 175 Yordon Center (niu Athletic Training), Dekalb, IL 60115 | 2018-08-15 |
| 1154807808 | Michael John Borak | Pharmacist | 975 S Annie Glidden Road, Schnucks Market Inc, Dekalb, IL 60115 | 2018-07-16 |
| 1184125841 | Candace Schroeffel | Student in an Organized Health Care Education/Training Program | 520 Garden Rd, Dekalb, IL 60115 | 2018-02-27 |
| 1033627583 | Hannah M Studebaker | Massage Therapist | 3266 Sycamore Road, Dekalb, IL 60115 | 2018-01-18 |
| 1649700238 | Jennifer Mangino | Behavioral Analyst | 138 Berkshire Dr, Dekalb, IL 60115 | 2017-06-15 |
| 1003346628 | Victoria Tullock | Counselor | 631 South First St., Dekalb, IL 60115 | 2017-06-15 |
| 1194263848 | Brianna Kraft | Specialist/Technologist | 900 Crane Dr, Dekalb, IL 60115 | 2017-02-02 |
| Find all providers in zip 60115 | ||||
| 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 |
|---|---|---|---|---|
| 1497235824 | Cory David Michael Hayden | Specialist/Technologist | 175 Yordon Center (niu Athletic Training), Dekalb, IL 60115 | 2018-08-15 |
| 1801328869 | Ryan Schultz | Specialist/Technologist | 3236 Meadow Trl E, Dekalb, IL 60115-5308 | 2017-03-29 |
| 1972041184 | Katie Schneider | Specialist/Technologist | 1360 S Malta Rd, Dekalb, IL 60115-8559 | 2017-02-08 |
| 1063950277 | William Goreth | Specialist/Technologist | 1311 W Lincoln Hwy, Apt Q, Dekalb, IL 60115-2970 | 2017-02-08 |
| 1881132090 | Jade Gray | Specialist/Technologist | 835 Edgebrook Dr Apt 118, Dekalb, IL 60115-1446 | 2017-02-08 |
| 1194263848 | Brianna Kraft | Specialist/Technologist | 900 Crane Dr, Dekalb, IL 60115 | 2017-02-02 |
| 1366980013 | Christopher Robinson | Specialist/Technologist | 1559 Sunflower Dr, Dekalb, IL 60115-2376 | 2017-02-02 |
| 1497292973 | Justin Patrick Pomar | Specialist/Technologist | 1525 W Lincoln Hwy Ste 170, Dekalb, IL 60115-3989 | 2017-01-23 |
| 1457898074 | Scott Hoff | Specialist/Technologist | 175 Yordon Center, Dekalb, IL 60115-9105 | 2017-01-20 |
| 1457712945 | Sean Lindsay Woodford | Specialist/Technologist | 833 Ellwood Ave, Dekalb, IL 60115-4146 | 2016-03-11 |
| Find all providers in DEKALB | ||||
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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.