MR. RYAN NEAL WILLIS (NPI# 1972868016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972868016 |
| Entity Type | Individual |
| Full Name | MR. RYAN NEAL WILLIS |
| Credential | M.A.T., ATC |
| Practice Address |
1200 Magnolia Way Progressive Health (esi) Blue Springs MS 38828-6000 |
| Practice Telephone | 6623173229 |
| Mailing Telephone | 6623173229 |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2012-07-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1058 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063812592 | Ryan Willis | Specialist/Technologist | 5670 W Red Ridge Ln, Salt Lake City, UT 84118-5004 | 2014-09-03 |
| 1487981817 | Ryan M Willis | Dentist | 1750 North Stonebridge Drive, 105, Mckinney, TX 75071 | 2009-11-05 |
| 1851807341 | Ryan Willis | Case Manager/Care Coordinator | 1007 Koala Dr, Omak, WA 98841-9247 | 2017-12-19 |
| 1871932491 | Ryan Willis | Physical Therapist | 2726 Griffin Ave, Suite C, Enumclaw, WA 98022-2362 | 2013-06-17 |
| Street Address |
1200 MAGNOLIA WAY PROGRESSIVE HEALTH (ESI) |
| City | BLUE SPRINGS |
| State | MS |
| Zip Code | 38828-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770890980 | Debra J Thomas | Physical Therapist | 1200 Magnolia Way, Blue Springs, MS 38828-6000 | 2010-09-09 |
| 1699375170 | Amanda Shipman | Pharmacist | 1200 Magnolia Way, Blue Springs, MS 38828-6000 | 2020-10-26 |
| 1669037958 | Wal-mart Stores East, Lp | Pharmacy | 1200 Magnolia Way, Blue Springs, MS 38828-6000 | 2019-05-02 |
| 1518460740 | Benjamin Drew Davis | Specialist/Technologist | 1200 Magnolia Way, Blue Springs, MS 38828-6000 | 2018-03-14 |
| 1073063376 | Andrew Mcdonald | Physical Therapist | 1200 Magnolia Way, Blue Springs, MS 38828-6000 | 2016-10-11 |
| 1669781852 | Whole Health Medical Group Ohio Professional Corporation | Clinic/Center | 1200 Magnolia Way, Blue Springs, MS 38828-6000 | 2010-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457830887 | Victoria Kilpatrick | Social Worker | 1130 Tuscumbia Rd, Blue Springs, MS 38828-8133 | 2018-08-07 |
| 1215038039 | Transicare, LLC | Hospice Care, Community Based | 1536 Highway 9 S, Blue Springs, MS 38828-9004 | 2006-09-26 |
| 1821555293 | Amanda L Frederick | Social Worker | 2283 Highway 348, Blue Springs, MS 38828-9016 | 2019-02-21 |
| 1083004022 | Christina Shelton | Nurse Practitioner | 1151 County Road 197, Blue Springs, MS 38828-9142 | 2015-01-29 |
| 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 |
|---|---|---|---|---|
| 1871057109 | Luke A Schweizer | Specialist/Technologist | 3120 S Bradford Ln, Blue Springs, MO 64015-7342 | 2019-01-31 |
| 1730583956 | Elizabeth Harrison | Specialist/Technologist | 4012 Sw 8th Ter Apt C, Blue Springs, MO 64015-6397 | 2014-10-17 |
| 1619005451 | Scott Trusty | Specialist/Technologist | 2000 Nw Ashton Dr, Blue Springs, MO 64015-1769 | 2007-03-02 |
| 1518460740 | Benjamin Drew Davis | Specialist/Technologist | 1200 Magnolia Way, Blue Springs, MS 38828-6000 | 2018-03-14 |
| 1497125314 | Courtney Nicole Wohlwend | Specialist/Technologist | 1225 S 7 Hwy, Blue Springs, MO 64014-3539 | 2015-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817895 | Thaxton Sullivan | Specialist/Technologist | 3 Courtland Dr Apt 50, Hattiesburg, MS 39402-8186 | 2020-09-24 |
| 1114532587 | David Vincent Hughes Jr. | Specialist/Technologist | 1 Priority Plaza, West Point, MS 39773 | 2020-09-13 |
| 1194333484 | Rebbecca Alister Ruckes | Specialist/Technologist | 741 Cr 503, Ripley, MS 38663-3866 | 2020-07-22 |
| 1164049102 | Catherine Meredith Pendergast | Specialist/Technologist | 36 Hill Dr., University, MS 38677 | 2020-06-25 |
| 1972137685 | Pamela Sue Ezell | Specialist/Technologist | 920 Cedar Lake Rd Ste C, Biloxi, MS 39532-2107 | 2020-03-03 |
| 1629600606 | Weldon Meng | Specialist/Technologist | 1084 Looxahoma Tyro Rd, Senatobia, MS 38668-6518 | 2020-02-07 |
| 1295374536 | Celia Shields | Specialist/Technologist | 1776 Brookhaven Dr, Southaven, MS 38671-3554 | 2020-01-03 |
| 1396384947 | Natasha Lea Hayes | Specialist/Technologist | 254 Springhill Rd, Laurel, MS 39443-7874 | 2019-12-30 |
| 1184263048 | Keizia Davidson | Specialist/Technologist | 153 Ripon Ct, Ridgeland, MS 39157-1265 | 2019-12-24 |
| 1730726530 | Stephen Thompson | Specialist/Technologist | 2816 Jim St, Tupelo, MS 38801-6763 | 2019-11-30 |
| Find all providers with the same taxonomy | ||||
| City | BLUE SPRINGS |
| Zip Code | 38828 |
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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.