KENNETH GARRETT DUGGER (NPI# 1053662361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053662361 |
| Entity Type | Individual |
| Full Name | KENNETH GARRETT DUGGER |
| Credential | ATC |
| Practice Address |
225 Crosslake Dr Evansville IN 47715-8198 |
| Mailing Address |
7300 E Indiana St Suite 102 Evansville IN 47715-2794 |
| Practice Telephone | 8124716677 |
| Practice Fax Number | 8124742296 |
| Mailing Telephone | 8124760409 |
| Mailing Fax Number | 8124761016 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36001954A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
225 CROSSLAKE DR |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47715-8198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104822279 | Jacob M O'neill | Orthopaedic Surgery | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2005-06-23 |
| 1952918419 | Mallory Leeann Baker | Physical Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2020-09-29 |
| 1558975045 | Kurtis D Anthony | Nurse Practitioner | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2020-09-02 |
| 1487270104 | Madison Jo Mundy | Occupational Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2020-06-18 |
| 1336774900 | Brandi L Fields | Nurse Practitioner | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2020-03-04 |
| 1982257507 | Shelby Clark | Physician Assistant | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2019-07-23 |
| 1043872013 | Jonathan Bernard Kirsch | Physical Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2019-07-01 |
| 1346800398 | Justin David Isiah King | Physical Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2019-06-20 |
| 1831656313 | Tri-state Orthopaedic Surgeons, Inc | Occupational Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2019-02-21 |
| 1093295768 | Rebecca L Thomas | Nurse Practitioner | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
| 1609339910 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1201 Cross Pointe Place, Evansville, IN 47715 | 2019-04-12 |
| 1497229223 | Hubert Family Dentistry LLP | Dentist | 6225 E Columbia St., Evansville, IN 47715 | 2019-01-15 |
| 1083110373 | Fyi Healthcare, LLC | Registered Nurse | 12000 Highway 41 North, Evansville, IN 47715 | 2018-04-04 |
| 1962862755 | New Journeys Counseling Services, LLC | Community/Behavioral Health | 4929 River Wind Pointe Drive, Evansville, IN 47715 | 2016-03-07 |
| 1558702456 | Jennifer Hoelter | Pharmacist | 5000 E Virginia St, Walgreens District Office, Evansville, IN 47715 | 2013-07-09 |
| 1952649402 | Courtney Ingold | Music Therapist | 621 E Cullen Ave, Suite 118, Evansville, IN 47715 | 2013-01-17 |
| 1922378041 | Sherry A. Fisher | Counselor | 4929 Riverwind Pointe Dr Ste 102, Evansville, IN 47715 | 2012-01-05 |
| 1710275912 | Tonja Leana Winekauf | Nurse Practitioner | 6211 E Waterford Blvd, Evansville Health Care Center, Evansville, IN 47715 | 2011-07-21 |
| 1003083437 | Allcare Dental & Dentures of In PC | Dentist | 1031 N. Green River Rd., Suite 104, Evansville, IN 47715 | 2008-05-14 |
| Find all providers in zip 47715 | ||||
| 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 |
|---|---|---|---|---|
| 1093352064 | Ashley Jo Robbins | Specialist/Technologist | 405 Evans Dr, Evansville, WI 53536-9743 | 2019-12-09 |
| 1437716586 | Hannah Elizabeth Bernhardt | Specialist/Technologist | 515 Walnut St Rm 3001, Evansville, IN 47708-1621 | 2019-05-23 |
| 1568934586 | Kathy Liu | Specialist/Technologist | 2405 Ellington Ridge Ct, Evansville, IN 47711-4024 | 2019-01-02 |
| 1366957045 | Lindsay Suzanne Calvert | Specialist/Technologist | 1824 Saint Philip Rd S, Evansville, IN 47712-8657 | 2017-12-04 |
| 1952771818 | Austin Omohundro | Specialist/Technologist | 2508 Arizona Ave, Evansville, IN 47711-4032 | 2015-10-04 |
| 1245620160 | Jaylyn Brown | Specialist/Technologist | 1200 Parkside Dr, Evansville, IN 47714-2750 | 2015-01-30 |
| 1669403689 | Adam M Harthcock | Specialist/Technologist | 7300 E Indiana St Ste 102, Evansville, IN 47715-2794 | 2006-07-06 |
| 1962431288 | Catherine E Doremire | Specialist/Technologist | 1514 John St, Evansville, IN 47714-1139 | 2006-06-30 |
| 1972532430 | Terry Lynn Collins | Specialist/Technologist | 1800 Lincoln Ave., Evansville, IN 47722-0001 | 2006-06-30 |
| 1306881966 | Troy Andrew Coppus | Specialist/Technologist | 1800 Lincoln Ave, University of Evansville, Evansville, IN 47714-1506 | 2006-06-18 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47715 |
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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.