MEREDITH GRACE COCKERELL (NPI# 1023643343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023643343 |
| Entity Type | Individual |
| Full Name | MEREDITH GRACE COCKERELL |
| Practice Address |
W Military Drive San Antonio TX 78236 |
| Mailing Address |
243 Bamburgh Dr San Antonio TX 78216-6116 |
| Practice Telephone | 2102921941 |
| Mailing Telephone | 2102199092 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT7832 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
W MILITARY DRIVE |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| 1700284916 | Jeffery Scott Martin | Psychologist | 1025 Femoyer St Bldg 10908, Jbsa Lackland, TX 78236 | 2014-12-22 |
| Find all providers in zip 78236 | ||||
| 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 |
|---|---|---|---|---|
| 1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
| 1417560004 | Margarita Carmen Carrizales | Specialist/Technologist | 8503 Chelsea Park, San Antonio, TX 78251-2552 | 2020-08-25 |
| 1710590328 | Seth Girard | Specialist/Technologist | 12631 Sunny Wonder, San Antonio, TX 78253-5193 | 2020-08-25 |
| 1942811534 | Nadia Giselle Briones | Specialist/Technologist | 8918 Sungate Bay, San Antonio, TX 78224-2254 | 2020-08-16 |
| 1376152181 | Stevie Marie Digiacomo | Specialist/Technologist | 7611 Marbach Rd, San Antonio, TX 78227-1691 | 2020-07-28 |
| 1851900906 | Giovanni A. Patino | Specialist/Technologist | 13610 Box T Dr, San Antonio, TX 78253-5461 | 2020-07-24 |
| 1972123388 | Jaime Alejandro Gonzalez | Specialist/Technologist | 302 E Hathaway Dr, San Antonio, TX 78209-6415 | 2020-04-26 |
| 1699395400 | Heather Wrench | Specialist/Technologist | 13000 Vista Del Norte Apt 314, San Antonio, TX 78216-8045 | 2020-04-21 |
| 1508493867 | Victoria Pineda | Specialist/Technologist | 215 Bexar Dr, San Antonio, TX 78228-4207 | 2020-03-26 |
| 1609400746 | Sarah Rogers | Specialist/Technologist | 7551 Tantivity, San Antonio, TX 78249-3652 | 2020-02-27 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78236 |
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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.