KELLY MEYER (NPI# 1134653561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134653561 |
| Entity Type | Individual |
| Full Name | KELLY MEYER |
| Practice Address |
30 Edgemere Hill Rd Catskill NY 12414 |
| Mailing Address |
30 Edgemere Hill Rd Catskill NY 12414-5102 |
| Practice Telephone | 5189655554 |
| Mailing Telephone | 5189655554 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2018-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
390977898 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 390977898 | NY | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619595022 | Kelly J Meyer | Social Worker | 46 Rockville Ave, Rockville Centre, NY 11570-5535 | 2020-07-12 |
| 1972151314 | Kelly J Meyer | Physician Assistant | 2900 W Oklahoma Ave Ste 414, Milwaukee, WI 53215-4330 | 2019-08-28 |
| 1861052862 | Kelly Meyer | Home Health Aide | 3698 State Highway 241, Afton, WY 83110-9758 | 2019-06-20 |
| 1710442827 | Kelly Putman Meyer | Physical Therapist | 2575 Harrison Ave, Panama City, FL 32405-4458 | 2019-02-02 |
| 1043795974 | Kelly Morgan Meyer | Speech-Language Pathologist | 25432 Colligan St, Manhattan, IL 60442-1419 | 2018-09-26 |
| 1972083475 | Kelly Leigh Meyer | Occupational Therapy Assistant | Port Lavaca Nursing and Rehabilitation Center, 524 Village Rd, Port Lavaca, TX 77979 | 2018-08-15 |
| 1477087518 | Kelly Love Meyer | Counselor | 2801 Johnson Ave, San Luis Obispo, CA 93401-5864 | 2017-04-15 |
| 1144682238 | Kelly Meyer | Licensed Practical Nurse | N10971 Yaeger Rd, Clintonville, WI 54929-9036 | 2016-03-28 |
| 1760944151 | Kelly Meyer | Physician Assistant | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414-3188 | 2019-04-03 |
| 1720583982 | Kelly Meyer | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108 | 2018-03-28 |
| Street Address |
30 EDGEMERE HILL RD |
| City | CATSKILL |
| State | NY |
| Zip Code | 12414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417498429 | Susan Carol Grecke | Social Worker | 110 Jefferson Heights, Catskill, NY 12414 | 2017-03-10 |
| 1487977575 | Matthew P Grassi | Pharmacist | 320 West Bridge St, Price Chopper Pharmacy 042, Catskill, NY 12414 | 2010-03-04 |
| 1033395900 | Carina Charlotte Madzelan | Pharmacist | 226 West Bridge St, Catskill, NY 12414 | 2008-01-10 |
| 1679775696 | Danielle Marie Swisher | Occupational Therapy Assistant | 161 Jefferson Heights, Catskill, NY 12414 | 2007-06-01 |
| 1679780217 | Rebecca Marie Calautti | Physical Therapy Assistant | 161 Jefferson Heights Rd, Catskill, NY 12414 | 2007-05-16 |
| 1306908322 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 30 Catskill Cmns, Catskill, NY 12414 | 2006-12-15 |
| 1609953264 | Kristen Dainton Hilliard | Chiropractor | 7987 Route 9w, Catskill, NY 12414 | 2006-11-01 |
| 1710233861 | Columbia Memorial Hospital | Clinic/Center | 159 Jefferson Hts, Suite D-201, Catskill, NY 12414 | 2012-07-26 |
| 1629367024 | Wendy Marie Johnson | Registered Nurse | 411 Main St, Suite 300, Catskill, NY 12414 | 2011-04-06 |
| 1831334283 | Parul Jagdish Shah | Pharmacist | 19 Central Ave, Catskill, NY 12414 | 2008-12-12 |
| Find all providers in zip 12414 | ||||
| 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 |
|---|---|---|---|---|
| 1639779309 | Jonathan Edwards | Specialist/Technologist | 39 Monty St, Plattsburgh, NY 12901-3702 | 2020-10-30 |
| 1245830207 | Skyler Lauren Cirillo | Specialist/Technologist | 1000 Hempstead Turnpike, Hempstead, NY 11549-0001 | 2020-10-29 |
| 1790384410 | Gina Siracusano | Specialist/Technologist | 630 Mastic Rd Ste 4, Mastic Beach, NY 11951-1020 | 2020-10-23 |
| 1134728504 | Corinne Edwards | Specialist/Technologist | 3606 Nutt Rd, Jamestown, NY 14701-9432 | 2020-10-18 |
| 1720687163 | Theresa A Trump | Specialist/Technologist | 7 Mapleline Rd, Ballston Lake, NY 12019-1589 | 2020-10-17 |
| 1235738667 | Erica Michalski | Specialist/Technologist | 157 Hillpine Rd, Cheektowaga, NY 14227-2261 | 2020-10-17 |
| 1396344743 | Jared Russom | Specialist/Technologist | 13 Brookview Ave., Delmar, NY 12054 | 2020-10-17 |
| 1720686231 | Leighann Buzzard | Specialist/Technologist | 277 Forbes Ave, Tonawanda, NY 14150-4705 | 2020-10-16 |
| 1861090367 | Jake Savino | Specialist/Technologist | 185 Oak Ave, Staten Island, NY 10306-4002 | 2020-10-15 |
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
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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.