DR. LINDA STARK BOBO (NPI# 1073643300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073643300 |
| Entity Type | Individual |
| Full Name | DR. LINDA STARK BOBO |
| Credential | PHD, ATC, LAT |
| Practice Address |
1936 N Street, Hpe Complex, Rm 204 Sfasfu Nacogdoches TX 75962 |
| Mailing Address |
3304 Colonial Dr Nacogdoches TX 75965-3079 |
| Practice Telephone | 9364681599 |
| Practice Fax Number | 9364681850 |
| Mailing Telephone | 9365591213 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT1665 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306054770 | Linda D Bobo | Internal Medicine | 3314 Patriot Ct, Herrin, IL 62948 | 2007-05-18 |
| Street Address |
1936 N STREET, HPE COMPLEX, RM 204 SFASFU |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346895620 | Daniel Anthony Latourelle | Specialist/Technologist | 712 Hayter Street, Nacogdoches, TX 75962-0001 | 2019-08-05 |
| 1730638164 | Marie Collins Custead | Dietitian, Registered | Sfa Athletic Fieldhouse 712 Hayter St, Nacogdoches, TX 75962-0001 | 2016-09-27 |
| 1275081051 | Kira Rubin | Specialist/Technologist | Sfa Athletic Fieldhouse, 712 Hayter St, Nacogdoches, TX 75962-0001 | 2016-09-21 |
| 1790113736 | Jennifer Boynton | Dietitian, Registered | 712 Hayter 13010 Sfa Sta, Nacogdoches, TX 75962-0001 | 2013-10-30 |
| 1114361250 | Stephen F. Austin State University | Clinic/Center | 2106 Raquet St, Nacogdoches, TX 75962-0001 | 2013-04-19 |
| 1336411818 | Alberta Nichols | Specialist/Technologist | 113 Hayter St, Nacogdoches, TX 75962-0001 | 2012-01-31 |
| 1881719821 | Raymond Lynn Eastman | Psychologist | 209 Blount St, Nacogdoches, TX 75962-0001 | 2007-03-20 |
| 1225185531 | John Miller | Family Medicine | 13058-sfa Statiion, Nacogdoches, TX 75962-0001 | 2007-01-05 |
| 1093876005 | Renal Care Group Nacogdoches, LLP | Clinic/Center | 3226 University Dr, 100, Nacogdoches, TX 75962-0001 | 2006-12-13 |
| 1265501076 | Stephen F. Austin State Univ. Health Service | Clinic/Center | 2106 Raguet St N, Box 13058, Nacogdoches, TX 75962-0001 | 2006-11-07 |
| Find all providers in zip 75962 | ||||
| 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 |
|---|---|---|---|---|
| 1548894561 | Charnaa Dejean | Specialist/Technologist | 1602 Cardinal St Apt 1332b, Nacogdoches, TX 75961-4360 | 2020-02-28 |
| 1578195582 | Trevon Jerrell Jones | Specialist/Technologist | 13010 Sfa Station, Nacogdoches, TX 75961 | 2020-02-07 |
| 1487285896 | Alejandro Sandoval | Specialist/Technologist | 5222 Northway Dr, Nacogdoches, TX 75965-1440 | 2020-02-04 |
| 1841821253 | John Horn | Specialist/Technologist | 5222 Northway Dr Apt 105, Nacogdoches, TX 75965-1444 | 2020-02-04 |
| 1578194981 | Chance Andrew Evans | Specialist/Technologist | 4704 N University Dr Apt 314, Nacogdoches, TX 75965-2608 | 2020-02-04 |
| 1346895620 | Daniel Anthony Latourelle | Specialist/Technologist | 712 Hayter Street, Nacogdoches, TX 75962-0001 | 2019-08-05 |
| 1043863400 | Shelby Clark | Specialist/Technologist | 4310 Appleby Sand Rd, Nacogdoches, TX 75965-2232 | 2019-07-24 |
| 1568026177 | Brianna Williams | Specialist/Technologist | 1602 Cardinal St Apt 622a, Nacogdoches, TX 75961-4339 | 2019-04-29 |
| 1497250450 | Aubrey Elyse Laurent | Specialist/Technologist | 5623 County Road 817, Nacogdoches, TX 75964 | 2018-03-29 |
| 1275081051 | Kira Rubin | Specialist/Technologist | Sfa Athletic Fieldhouse, 712 Hayter St, Nacogdoches, TX 75962-0001 | 2016-09-21 |
| Find all providers in NACOGDOCHES | ||||
| City | NACOGDOCHES |
| Zip Code | 75962 |
Please comment or provide details below to improve the information on DR. LINDA STARK BOBO.
| 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.