MR. KEITH PATTERSON (NPI# 1962880518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962880518 |
| Entity Type | Individual |
| Full Name | MR. KEITH PATTERSON |
| Credential | L.A.T. |
| Practice Address |
555 N Loop 340 Waco TX 76705-2573 |
| Practice Telephone | 2542996822 |
| Practice Fax Number | 2547991831 |
| Mailing Telephone | 2542996822 |
| Mailing Fax Number | 2547991831 |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2015-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT1847 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366796302 | Keith Patterson Jr. | Pharmacist | 125 E South Airport Rd, Pharmacy, Traverse City, MI 49686 | 2012-10-30 |
| 1306853874 | Keith Stacy Patterson | Family Medicine | 10512 North 110th East Avenue, Owasso, OK 74055-6636 | 2006-08-01 |
| 1558351510 | Keith Douglas Patterson | Pharmacist | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2005-10-21 |
| Street Address |
555 N LOOP 340 |
| City | WACO |
| State | TX |
| Zip Code | 76705-2573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860943 | Adam Kyle Spillers | Pharmacist | 1521 I-35 East, Bellmead, TX 76705 | 2020-10-27 |
| 1245849157 | Jonathan Huo | Pharmacist | 801 N I-35, Bellmead, TX 76705 | 2020-07-27 |
| 1093323362 | Ace Dental10, Pllc | Dentist | 901 N Ih-35, Suite 111, Bellmead, TX 76705 | 2020-07-22 |
| 1285193607 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 510 N Loop 340, Ste E, Bellmead, TX 76705 | 2019-03-15 |
| 1285105585 | Charlotte Robinson | Registered Nurse | 1417 E Loop 340, Waco, TX 76705 | 2018-12-12 |
| 1225547532 | Sharon Denise Miles | Social Worker | 4603 Lexington St., Waco, TX 76705 | 2017-09-29 |
| 1619494226 | Ariel Rennspies | Physician Assistant | 1135 Tx-340 Loop, Waco, TX 76705 | 2017-08-24 |
| 1184158362 | Providence Health Services of Waco | Durable Medical Equipment & Medical Supplies | 1130 N Loop 340, Lacy Lakeview, TX 76705 | 2017-04-14 |
| 1396131926 | Kate Marie-hall Nelson | Speech-Language Pathologist | 208 Chama Drive, Hewitt, TX 76705 | 2015-04-10 |
| 1366728149 | Marcia Deshazo Carter | Speech-Language Pathologist | 6610 N. Ih 35, Waco, TX 76705 | 2011-10-25 |
| Find all providers in zip 76705 | ||||
| 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 |
|---|---|---|---|---|
| 1649891797 | Kendall Butler | Specialist/Technologist | 2001 S 5th St Apt 604, Waco, TX 76706-2562 | 2020-04-29 |
| 1992343412 | Allison Diane Bracamontes | Specialist/Technologist | 2005 Kirby Lee St, Waco, TX 76712-8615 | 2019-12-16 |
| 1750948923 | Aldrich Tio Wang | Specialist/Technologist | 2415 S University Parks Dr Apt 1109, Waco, TX 76706-6533 | 2019-05-23 |
| 1083178842 | Teresa Nicolet | Specialist/Technologist | 2826 S University Parks Dr Apt 534, Waco, TX 76706-6564 | 2019-01-25 |
| 1871057091 | Jamie Elaine Bradley | Specialist/Technologist | 2255 S University Parks Dr Apt 16c, Waco, TX 76706-6599 | 2019-01-23 |
| 1780158675 | Landon Michael Trahan | Specialist/Technologist | 1903 S 11th St Apt A, Waco, TX 76706-3107 | 2019-01-14 |
| 1861973539 | Ashley Luedke | Specialist/Technologist | 4900 Bagby Ave Apt 512, Waco, TX 76711-0020 | 2018-08-22 |
| 1659861136 | Connie Kuei | Specialist/Technologist | 2255 S University Parks Dr Apt 6202, Waco, TX 76706-6621 | 2018-05-10 |
| 1093217226 | Kayla Dynise Ewing | Specialist/Technologist | 2201 Richter Ave, Waco, TX 76711-1954 | 2018-03-04 |
| 1790202414 | Whitley Brook Sepulveda | Specialist/Technologist | 833 Fort Gates, Waco, TX 76708-9740 | 2017-08-23 |
| Find all providers in WACO | ||||
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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.