JENNIFER MITCHELL (NPI# 1063998870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063998870 |
| Entity Type | Individual |
| Full Name | JENNIFER MITCHELL |
| Credential | ATC, LAT |
| Practice Address |
11502 Belmack Blvd S Odessa FL 33556-5104 |
| Practice Telephone | 7276873793 |
| Mailing Telephone | 7276873793 |
| Enumeration Date | 2018-07-15 |
| Last Update Date | 2018-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL-2653 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306898 | Jennifer Elaine Mitchell | Counselor | 2311 Shelby Ave Ste 201d, Ann Arbor, MI 48103-3849 | 2020-11-06 |
| 1669093001 | Jennifer Mitchell | Marriage & Family Therapist | 2108 23rd St, Rockford, IL 61108-6015 | 2020-04-27 |
| 1932729266 | Jennifer M Mitchell | Assisted Living Facility | 1976 Academy Ave, Tulare, CA 93274-3187 | 2020-04-16 |
| 1811538598 | Jennifer L Mitchell | Physician Assistant | 21 Susquehanna Valley Mall Dr Ste D, Selinsgrove, PA 17870-9148 | 2019-10-03 |
| 1750945903 | Jennifer L Mitchell | Registered Nurse | 644 State Line Rd, Colcord, OK 74338 | 2019-04-23 |
| 1841704855 | Jennifer L Mitchell | Counselor | 14125 Cedar Cir, Omaha, NE 68144-2120 | 2017-11-29 |
| 1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
| 1306223284 | Jennifer M Mitchell | Social Worker | 656 Apple Ave, Holland, MI 49423-5438 | 2015-04-30 |
| 1083003115 | Jennifer Quinn Mitchell | Physician Assistant | 35 Talcottville Rd Ste 5, Vernon, CT 06066-5261 | 2015-01-13 |
| 1023415858 | Jennifer Mitchell | Psychologist | 7762 Whitehall Cir E, West Chester, OH 45069-1113 | 2014-11-21 |
| Street Address |
11502 BELMACK BLVD S |
| City | ODESSA |
| State | FL |
| Zip Code | 33556-5104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773890 | Asc of Trinity | Clinic/Center | 15238 Virginia Station, Odessa, FL 33556 | 2020-09-03 |
| 1700409240 | All In One Dme LLC | Durable Medical Equipment & Medical Supplies | 17086 Simms Road, Odessa, FL 33556 | 2020-05-19 |
| 1578123287 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 13589 State Road 54, Odessa, FL 33556 | 2019-06-14 |
| 1790244267 | Gabriela Fernandez Strickland | Psychologist | 16117 Lytham Drive, Odessa, FL 33556 | 2019-03-14 |
| 1699288266 | Melissa Knight | Pharmacist | 12515 Hitching St, Odessa, FL 33556 | 2017-11-06 |
| 1144604109 | Maria Litak | Pharmacist | 12500 State Road 54, Odessa, FL 33556 | 2015-07-19 |
| 1366671927 | Manik S Bedi | Dentist | 17751 Gunn Hwy, Odessa, FL 33556 | 2009-07-03 |
| 1043295090 | Kathleen Young Harrell | Nurse Practitioner | 17121 Rainbow Terrace, Odessa, FL 33556 | 2005-12-13 |
| 1558854281 | Thianna Marie Diamandis | Assistant Behavior Analyst | 16414 Lake Church Dr, Odessa, FL 33556 | 2018-06-07 |
| 1508384124 | Lacie Gunter | Behavior Technician | 16414 Lake Church Dr, Odessa, FL 33556 | 2017-09-04 |
| Find all providers in zip 33556 | ||||
| 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 |
|---|---|---|---|---|
| 1265995716 | Ryan Daniels | Specialist/Technologist | 4901 E University, Gym 111, Odessa, TX 79762 | 2019-04-11 |
| 1720547730 | Emily Campbell | Specialist/Technologist | 1301 N Dotsy Ave, Odessa, TX 79763-3597 | 2019-03-19 |
| 1174088470 | Payton Hunter | Specialist/Technologist | 356 N Tripp Ave, Odessa, TX 79763-7779 | 2019-01-31 |
| 1326547597 | Kaele Lawless | Specialist/Technologist | 12214 Garden Lake Cir, Odessa, FL 33556-5141 | 2018-02-02 |
| 1992203608 | Eric Norton | Specialist/Technologist | 51 Falcons Nest Cir # 2051, Odessa, TX 79762-9621 | 2018-01-28 |
| 1396283727 | Mackenzie Mcinturff | Specialist/Technologist | 713 S 3rd St, Odessa, MO 64076-1453 | 2017-02-06 |
| 1215383468 | Isaac Knutson | Specialist/Technologist | 63611 440th St, Odessa, MN 56276-2068 | 2016-05-06 |
| 1609250984 | Anneliese Fox Martinez | Specialist/Technologist | 900 Duke Ave, Odessa, TX 79765-2109 | 2015-07-16 |
| 1881871457 | Kazuhiko Yanagi | Specialist/Technologist | 4901 E University Blvd, Utpb Department of Athletics, Odessa, TX 79762-8122 | 2008-01-26 |
| 1003837584 | James Craig Carlson | Specialist/Technologist | 2525 N Grandview Ave Ste 400, Odessa, TX 79761-1600 | 2006-07-21 |
| Find all providers in ODESSA | ||||
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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.