JILL RENEE KISTLER (NPI# 1093815748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093815748 |
| Entity Type | Individual |
| Full Name | JILL RENEE KISTLER |
| Credential | ATC |
| Practice Address |
1296 Tod Pl Nw Suite 208 Warren OH 44485-2474 |
| Mailing Address |
1399 Millikin Pl Ne Warren OH 44483-4451 |
| Practice Telephone | 3303065018 |
| Practice Fax Number | 3303065021 |
| Mailing Telephone | 3303724580 |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
000622 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1296 TOD PL NW SUITE 208 |
| City | WARREN |
| State | OH |
| Zip Code | 44485-2474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952398232 | Theresa Ann Griffin | Physician Assistant | 1296 Tod Pl Nw, Warren, OH 44485-2474 | 2005-10-03 |
| 1285174185 | Andrew Alton | Family Medicine | 1296 Tod Pl Nw, Warren, OH 44485-2474 | 2017-02-27 |
| 1790223683 | Brittany Lesher | Internal Medicine | 1296 Tod Pl Nw, Warren, OH 44485-2474 | 2017-02-10 |
| 1669925111 | Susan Guthrie Wright | Family Medicine | 1296 Tod Pl Nw, Warren, OH 44485-2474 | 2016-08-02 |
| 1346793338 | Kiteria Finlayson | Family Medicine | 1296 Tod Pl Nw, Warren, OH 44485-2474 | 2016-07-26 |
| 1427403435 | Dustin Nesheim | Emergency Medicine | 1296 Tod Pl Nw, Warren, OH 44485-2474 | 2016-04-27 |
| 1144684945 | Zachary Kwasnicka | Internal Medicine | 1296 Tod Pl Nw, Warren, OH 44485-2474 | 2016-04-07 |
| 1497115059 | Ismail Umar Husain | Internal Medicine | 1296 Tod Pl Nw, Warren, OH 44485-2474 | 2016-02-25 |
| 1629496526 | Tyler Ferris | Family Medicine | 1296 Tod Pl Nw, Suite 202, Warren, OH 44485 | 2014-03-29 |
| 1578805602 | Krista Marie Rubosky | Physician Assistant | 1296 Tod Pl Nw, Warren, OH 44485-2474 | 2013-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284752 | Heather Lynn Ayres | Technician | 4046 North Leavitt Rd Nw, Warren, OH 44485 | 2020-10-29 |
| 1730576315 | Jeanetta Chatmon | Community Health Worker | 1447 Kensington St. Nw, Warren, OH 44485 | 2015-04-21 |
| 1003201351 | Laneka Oliver | Home Health | 1655 Denison Ave, Warren, OH 44485 | 2015-04-03 |
| 1437401155 | Rhoda Darlene Killingworth | Nurse's Aide | 1510 Arthur Dr Nw, Warren, OH 44485 | 2012-10-04 |
| 1477844033 | Lakshmi Padmanabhan | Pharmacist | 1560 Parkman Road, Rite Aid Pharmacy, Warren, OH 44485 | 2011-04-29 |
| 1225332422 | Dashah Brendae Adams | Licensed Practical Nurse | 3270 Dunstan Dr. Nw, Warren, OH 44485 | 2011-01-03 |
| 1982854188 | Deanna Lynne Nussle | Registered Nurse | 1480 Tod Ave, Warren, OH 44485 | 2008-09-24 |
| 1003093170 | Kila E Mcghee | Home Health | 1108 Tod Ave Nw, Warren, OH 44485 | 2008-01-30 |
| 1639372816 | Stella L Reese | Home Health Aide | 1890 Northfield Nw, Attn Karen Morgan, Warren, OH 44485 | 2007-06-06 |
| 1417016239 | Laura Marie Buck | Counselor | Louis Stokes Cleveland Medical Center, 1406 Tod Ave Nw Warren Va Cboc, Warren, OH 44485 | 2006-12-07 |
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| 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 |
|---|---|---|---|---|
| 1346743242 | Victoria Swipas | Specialist/Technologist | 5177 Old Colony Rd Nw, Warren, OH 44481-9154 | 2018-03-16 |
| 1679086110 | Emma Alfred | Specialist/Technologist | 15 Katie Dr, Warren, RI 02885-1747 | 2017-11-07 |
| 1336691294 | Michelle Cybulski | Specialist/Technologist | 29706 Flanders Ave, Warren, MI 48088-3760 | 2016-10-26 |
| 1215388707 | Rachael Mcgrail | Specialist/Technologist | 3656 Goldner Ln Sw, Warren, OH 44481-8604 | 2016-06-26 |
| 1700279833 | Rebecca Holsinger | Specialist/Technologist | 27203 Wagner Dr, Warren, MI 48093-8350 | 2015-03-13 |
| 1992194815 | Emily Moyers | Specialist/Technologist | 29391 Yorkshire Ln, Warren, MI 48088-5114 | 2015-01-15 |
| 1407257744 | Shane Brown | Specialist/Technologist | 5160 Copeland Ave Nw, Warren, OH 44483-1267 | 2014-09-05 |
| 1063820017 | Rebecca Lyn Mcleod | Specialist/Technologist | 8482 Francine St, Warren, MI 48093-4955 | 2014-07-22 |
| 1861838351 | Brian Appel | Specialist/Technologist | 4677 Mahoning Ave Nw, Warren, OH 44483-1418 | 2013-05-11 |
| 1679813638 | Therese Marcazo | Specialist/Technologist | 108 Stirling Rd, Warren, NJ 07059-5772 | 2013-02-27 |
| Find all providers in WARREN | ||||
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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.