CARLY HEDEGARD (NPI# 1083127815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083127815 |
| Entity Type | Individual |
| Full Name | CARLY HEDEGARD |
| Practice Address |
5998 Alcala Park San Diego CA 92110-8001 |
| Practice Telephone | 6192604600 |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5998 ALCALA PARK |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-8001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649233982 | Carolyn T Greer | Specialist/Technologist | 5998 Alcala Park, San Diego, CA 92110-2476 | 2006-04-08 |
| 1275134009 | Harrison Christopher Garcia | Specialist/Technologist | 5998 Alcala Park, San Diego, CA 92110-8001 | 2020-11-06 |
| 1942818356 | Kristian Jamerson | Nurse Practitioner | 5998 Alcala Park, San Diego, CA 92110-8001 | 2020-07-22 |
| 1174141717 | Wendell J Callahan | Psychologist | 5998 Alcala Park, Mrh 215, San Diego, CA 92110 | 2020-07-09 |
| 1497385553 | Ding Wong | Specialist/Technologist | 5998 Alcala Park, San Diego, CA 92110-8001 | 2020-01-16 |
| 1871078642 | Benjamin K Brunnschweiler | Social Worker | 5998 Alcala Park, San Diego, CA 92110-8001 | 2018-09-27 |
| 1437698677 | Brenna Jean Memole | Registered Nurse | 5998 Alcala Park, Student Health Center, Maher Hall 140, San Diego, CA 92110-2492 | 2017-02-21 |
| 1386181758 | Ashley Marroquin | Specialist/Technologist | 5998 Alcala Park, San Diego, CA 92110-8001 | 2017-01-24 |
| 1962958561 | University of San Diego Student Health Center | Clinic/Center | 5998 Alcala Park, Maher 140, San Diego, CA 92110-8001 | 2016-09-01 |
| 1144672809 | Raymond Tabuena | Specialist/Technologist | 5998 Alcala Park, San Diego, CA 92110-8001 | 2016-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| 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 |
|---|---|---|---|---|
| 1215540075 | Brianna Paige Corallo | Specialist/Technologist | 4453 Carling Dr, San Diego, CA 92115-5527 | 2020-08-30 |
| 1518578954 | Mina Markley Castleman | Specialist/Technologist | 3864 35th St Apt 12, San Diego, CA 92104-3162 | 2020-08-10 |
| 1518575661 | Jason William Switzer | Specialist/Technologist | 3328 6th Ave, San Diego, CA 92103-5706 | 2020-07-15 |
| 1346858461 | Eduardo Alberto Gallardo Ziramba | Specialist/Technologist | 3142 Ingelow St, San Diego, CA 92106-2222 | 2020-07-14 |
| 1144847641 | Joseph C Claborn | Specialist/Technologist | 7130 Miramar Rd, San Diego, CA 92121-2353 | 2020-06-30 |
| 1215551551 | Jacob Riley Callahan | Specialist/Technologist | 5302 55th St, San Diego, CA 92182-0001 | 2020-06-02 |
| 1598385932 | Nicole Arimboanga Brisco | Specialist/Technologist | 10510 Marauder Way, San Diego, CA 92126-3275 | 2020-04-24 |
| 1861059925 | Tomoko Ohkubo-kuo | Specialist/Technologist | 8780 Parkplace Ct, San Diego, CA 92123-6406 | 2019-05-23 |
| 1720645864 | Bianca Mattioli | Specialist/Technologist | 6191 Rancho Mission Rd Unit 113, San Diego, CA 92108-2238 | 2019-05-23 |
| 1427614700 | Jason Mcmullen | Specialist/Technologist | 3421 36th St Apt 15, San Diego, CA 92104-4434 | 2019-05-13 |
| Find all providers in SAN DIEGO | ||||
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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.