RENATA ODONGO (NPI# 1912453689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912453689 |
| Entity Type | Individual |
| Full Name | RENATA ODONGO |
| Credential | AT,CKTP. CGT |
| Practice Address |
4710 N 5th St Phoenix AZ 85012-1738 |
| Mailing Address |
4410 S. Val Vista Dr. Apt 2089 Mesa AZ 85204-6447 |
| Practice Telephone | 8162621979 |
| Mailing Telephone | 8162621979 |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4710 N 5TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-1738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033181714 | Michelle Susan Varnell | Specialist/Technologist | 4710 N 5th St, Phoenix, AZ 85012-1738 | 2006-02-06 |
| 1811533094 | Laurie Mckenzie White | Specialist/Technologist | 4710 N 5th St, Phoenix, AZ 85012-1738 | 2019-11-21 |
| 1003378175 | Hannah Nicole Gray | Specialist/Technologist | 4710 N 5th St, Phoenix, AZ 85012-1738 | 2019-04-05 |
| 1780093278 | Shirleeah Fayson | Specialist/Technologist | 4710 N 5th St, Phoenix, AZ 85012-1738 | 2014-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| 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 |
|---|---|---|---|---|
| 1255947735 | Leslie Fernanda Jimenez Terrazas | Specialist/Technologist | 5213 W Vernon Ave, Phoenix, AZ 85035-1950 | 2020-09-19 |
| 1649886219 | Shannon Brittany Addington | Specialist/Technologist | 901 E Van Buren St Apt 2021, Phoenix, AZ 85006-4030 | 2020-09-18 |
| 1477169282 | Deborah Carter | Specialist/Technologist | 5346 N. 29th Ave., Phoenix, AZ 85017 | 2020-09-17 |
| 1083220065 | Ashley Medeiros | Specialist/Technologist | 2926 E. Encanto Blvd., Phoenix, AZ 85009 | 2020-09-16 |
| 1386269454 | Alexis Ileana Encarnacion | Specialist/Technologist | 375 E Virginia Ave Ste B, Phoenix, AZ 85004-1202 | 2020-06-14 |
| 1316568470 | Daria Bickham | Specialist/Technologist | 18401 N 32nd St, Phoenix, AZ 85032-1210 | 2020-04-29 |
| 1255970059 | Lauren Berryhill | Specialist/Technologist | 510 W Gary Way, Phoenix, AZ 85041-8051 | 2019-12-27 |
| 1407490113 | Aubree 031854585 Begay-houston | Specialist/Technologist | 4232 N 3rd Ave Apt 4, Phoenix, AZ 85013-3093 | 2019-11-05 |
| 1316597396 | Aaron Hoback | Specialist/Technologist | 3805 N 53rd Ave, Phoenix, AZ 85031-3046 | 2019-09-12 |
| 1942858345 | Roxanne Reynolds | Specialist/Technologist | 5445 E Yale St, Phoenix, AZ 85008-1711 | 2019-08-28 |
| Find all providers in PHOENIX | ||||
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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.