STEPHEN KIM (NPI# 1912444779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912444779 |
Entity Type | Individual |
Full Name | STEPHEN KIM |
Credential | ATC |
Practice Address |
175 Sam Sibley Dr. Natchitoches LA 71457 |
Mailing Address |
5348 Hickory Hill Dr Se Salem OR 97306-1600 |
Practice Telephone | 9136870679 |
Mailing Telephone | 9136870679 |
Enumeration Date | 2017-01-31 |
Last Update Date | 2017-05-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2694625 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265765473 | Stephen Joseph Kim | Dentist | 1200 112th Ave Ne Ste B275, Bellevue, WA 98004-3738 | 2009-09-08 |
1043434483 | Stephen Hojong Kim | Dentist | 4061 Kirkpatrick Ln, Suite 100, Flower Mound, TX 75028 | 2007-04-13 |
1760539068 | Stephen Sae Chang Kim | Family Medicine | 177 Mouse Creek Rd Nw, Cleveland, TN 37312-3838 | 2007-01-05 |
1659449791 | Stephen Kim | Dentist | 7841 Commonwealth Ave, Buena Park, CA 90621-2422 | 2006-11-30 |
1376563403 | Stephen Alan Kim | Family Medicine | 3140 Legacy Dr Ste 720, Frisco, TX 75034-7917 | 2006-07-20 |
1740226893 | Stephen S Kim | Internal Medicine | 222 Ne Park Plaza Dr, Suite 100, Vancouver, WA 98684-5895 | 2006-06-20 |
1558909408 | Stephen Kim | Pharmacist | 1540 E Highland Ave, San Bernardino, CA 92404-4614 | 2019-12-11 |
1285175109 | Stephen Kim | Orthotist | 2434 W Peterson Ave, Chicago, IL 60659-4113 | 2017-03-10 |
1851750400 | Stephen Kim | Dentist | 5545 E Broadway Blvd Ste 107, Tucson, AZ 85711 | 2016-02-10 |
1225387848 | Stephen S Kim | Pharmacist | 2201 Se Loop 820, Fort Worth, TX 76119-5863 | 2012-08-29 |
Street Address |
175 SAM SIBLEY DR. |
City | NATCHITOCHES |
State | LA |
Zip Code | 71457 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427615848 | Special Crawford | Case Manager/Care Coordinator | 419 Wasington Ave, Mansfield, LA 71457 | 2019-05-21 |
1497232748 | Hand In Hand Hospice Care LLC | Hospice Care, Community Based | 135 East 5th Street, Natchitoches, LA 71457 | 2018-07-19 |
1851809214 | Latoya M Gray | Counselor | 132 Kelly St, Natchitoches, LA 71457 | 2018-01-18 |
1467968024 | Amanda K Cully | Case Manager/Care Coordinator | 200 Rapides Dr Ste A, Natchitoches, LA 71457 | 2017-12-19 |
1972021749 | Jessica Smith | Case Manager/Care Coordinator | 325 South Drive, Natchitoches, LA 71457 | 2017-08-31 |
1689190720 | Chartia Hurt | Counselor | 430 Dixie Plaza, Natchitoches, LA 71457 | 2017-08-21 |
1902331556 | Daima Atinkah | Specialist/Technologist | 468 Caspari Drive, Natchitoches, LA 71457 | 2017-04-20 |
1548794969 | Stephanie Sowell | Counselor | 120 Laird Fletcher Rd, Natchitoches, LA 71457 | 2017-04-12 |
1538692579 | Cynthia Harmon | Counselor | 1025 Hill Ave, Natchitoches, LA 71457 | 2017-04-06 |
1104365097 | Justin Dewayne Evans I | Counselor | 820 Gentry Davis, Natchitoches, LA 71457 | 2017-02-13 |
Find all providers in zip 71457 |
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 |
---|---|---|---|---|
1568094209 | Carmen Waskom | Specialist/Technologist | 900 Fish Hatchery Rd, Natchitoches, LA 71457-6524 | 2020-02-11 |
1083140628 | Brittany Goldberg | Specialist/Technologist | 103 Elvira Dr # 103, Natchitoches, LA 71457-3176 | 2017-05-02 |
1902331556 | Daima Atinkah | Specialist/Technologist | 468 Caspari Drive, Natchitoches, LA 71457 | 2017-04-20 |
1942746706 | Taylor Shealy Wilkes | Specialist/Technologist | 468 Caspari Dr, Natchitoches, LA 71497-0001 | 2017-01-17 |
1891162889 | Devin Thulin | Specialist/Technologist | 220 S Jefferson St Prather Coliseum, Natchitoches, LA 71497-0001 | 2015-08-26 |
1619147949 | Jeremiah Richard Musser | Specialist/Technologist | 3800 University Pkwy, Apt. #112, Natchitoches, LA 71457-3581 | 2008-03-03 |
1952509275 | Chelsa Gene't Fontenot | Specialist/Technologist | 120 Williams Ave, Natchitoches, LA 71457-5026 | 2007-07-08 |
1457444127 | Stefanie Susanna Rodgers | Specialist/Technologist | 4052 University Pkwy, Natchitoches, LA 71457 | 2006-10-02 |
1801825088 | Victoria Anne Du Preez | Specialist/Technologist | 468 Caspari St, Athletic Field House--nsu, Natchitoches, LA 71497-0003 | 2006-07-01 |
1417940859 | Isaac Sean Colbert | Specialist/Technologist | Northwestern State University, Athletic Fieldhouse, Natchitoches, LA 71497-0001 | 2005-08-30 |
Find all providers in NATCHITOCHES |
City | NATCHITOCHES |
Zip Code | 71457 |
Please comment or provide details below to improve the information on STEPHEN KIM.
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.