MR. ROBERT CHILDRESS (NPI# 1093105876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093105876 |
| Entity Type | Individual |
| Full Name | MR. ROBERT CHILDRESS |
| Credential | ATC |
| Practice Address |
2565 Trade Wind Ln #32 Bozeman MT 59718-4634 |
| Practice Telephone | 4065294787 |
| Mailing Telephone | 4065294787 |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
ATR-LAT-LIC-1156 | MT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922142397 | Robert Clark Childress | Dentist | 219 N Oak Ave, Cookeville, TN 38501-2437 | 2007-02-17 |
| 1548748528 | Robert Childress IIi | Respiratory Therapist, Certified | 615 W Avenue L, Lancaster, CA 93534-7211 | 2018-08-01 |
| 1558678920 | Robert Spencer Childress | Nurse Anesthetist, Certified Registered | 555 E Cheves St, Florence, SC 29506-2617 | 2010-09-08 |
| 1942422969 | Robert Lloyd Childress | Dentist | 1240 Mcarthur St, Manchester, TN 37355-2445 | 2007-05-02 |
| 1740274562 | Robert Childress | Internal Medicine | 2900 16th St, Bedford, IN 47421-3510 | 2005-09-08 |
| Street Address |
2565 TRADE WIND LN #32 |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59718-4634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727518 | Alex Mattucci | Pharmacist | 200 South 23rd St, Bozeman, MT 59718 | 2020-07-09 |
| 1285251132 | West Bozeman Surgery Center, LLC | Clinic/Center | 5031 S. Cottonwood Road, Suite 100, Bozeman, MT 59718 | 2020-06-26 |
| 1528680733 | Amanda Harris | Student in an Organized Health Care Education/Training Program | 301 Edelweiss Dr, Unit 7, Bozeman, MT 59718 | 2020-05-11 |
| 1568946291 | Build Physio & Performance, Pllc | Physical Therapist | 609 Pronghorn Trail, Bozeman, MT 59718 | 2018-09-19 |
| 1184107872 | Hunter Family Chiropractic Pllc | Chiropractor | 37 Spanish Peak Drive, Bozeman, MT 59718 | 2018-09-10 |
| 1588179873 | Melissa N Blixt | Nurse Practitioner | 1805 W. Oak, Bozeman, MT 59718 | 2017-12-07 |
| 1861949455 | Kristina Joy Parmelee | Massage Therapist | 1001 West Oak Street #210, Bozeman, MT 59718 | 2016-09-01 |
| 1265883037 | Molly Kathleen Smith | Specialist | 642 S. Cottonwood Rd., Suite 2, Bozeman, MT 59718 | 2016-06-23 |
| 1063891414 | Dutton & Willhite, Inc. | Chiropractor | 2622 W. Main Ste. B, Bozeman, MT 59718 | 2015-05-19 |
| 1548664253 | Stacy Montaigne Aucoin | Social Worker | 102 S. 19th, Suite #5, Bozeman, MT 59718 | 2014-10-09 |
| Find all providers in zip 59718 | ||||
| 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 |
|---|---|---|---|---|
| 1497377972 | Sola Yeager | Specialist/Technologist | 28 Michael Grove Ave, Bozeman, MT 59718-1850 | 2020-05-07 |
| 1720465545 | Jennifer Kunshier | Specialist/Technologist | 2962 W Villard St, E, Bozeman, MT 59718-3668 | 2015-04-30 |
| 1174932479 | Alyssa Asay | Specialist/Technologist | 118 Bobcat Circle, Bozeman, MT 59717 | 2014-08-12 |
| 1952719866 | Justin Luke Freeman | Specialist/Technologist | 118 Bobcat Cir, Bozeman, MT 59715 | 2014-07-24 |
| 1114279429 | Kylie Marie Izzi | Specialist/Technologist | 2511 Rose St, Bozeman, MT 59718-7518 | 2012-10-10 |
| 1386821205 | Loni Lynn Wiley | Specialist/Technologist | 205 N 11th Ave, Bozeman, MT 59715-3217 | 2008-01-22 |
| 1518177757 | Lisa Marie Bostick | Specialist/Technologist | 1871 S 22nd Ave Ste 2b, Bozeman, MT 59718-7054 | 2007-05-23 |
| 1508929514 | Robert M Higgs | Specialist/Technologist | #1 Bobcat Circle, Bozeman, MT 59717-3380 | 2006-12-19 |
| 1710975123 | Mark A. Meredith | Specialist/Technologist | 207 Meagher Ave, 205 N. 11th Ave, Bozeman, MT 59718-6228 | 2005-10-10 |
| 1790773133 | Melissa Jean Humpal Fisher | Specialist/Technologist | 536 S Cottonwood Rd, Suite 100, Bozeman, MT 59718-9515 | 2005-10-10 |
| Find all providers in BOZEMAN | ||||
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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.