MR. PAUL KEITH WALNUM (NPI# 1194948471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194948471 |
| Entity Type | Individual |
| Full Name | MR. PAUL KEITH WALNUM |
| Credential | LAT, ATC, CSCS |
| Practice Address |
324 E New York St Suite 300 Indianapolis IN 46204-2141 |
| Mailing Address |
3470 Sherburne Ln Apt. D Indianapolis IN 46222-1639 |
| Practice Telephone | 3179721180 |
| Mailing Telephone | 3179250803 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36000458A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
324 E NEW YORK ST SUITE 300 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46204-2141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437279114 | Steven Mark Moffatt | Internal Medicine | 324 E New York St, Suite 300, Indianapolis, IN 46204-2141 | 2007-03-29 |
| 1942620273 | Rochelle Nicole Beasley | Nurse Practitioner | 324 E New York St, Indianapolis, IN 46204-2141 | 2014-04-25 |
| 1508039165 | Public Safety Medical Services | Specialist | 324 E New York St, Suite 300, Indianapolis, IN 46204-2141 | 2008-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
| 1487203139 | Elizabeth Ann Wilson | Behavior Technician | 120 N East St Ste 1233, Indianapolis, IN 46204 | 2019-09-05 |
| 1225691207 | Kawthar Mohamed | Student in an Organized Health Care Education/Training Program | 120 W Michigan St # Cl630, Indianapolis, IN 46204 | 2019-04-16 |
| 1457853962 | Tracie Lynn King | Physical Therapy Assistant | 500 N Capitol Ave Unit A, Indianapolis, IN 46204 | 2018-03-01 |
| 1013436831 | Kayla Michelle Jackson | Social Worker | 1099 North Meridian Street, Suite 900, Indianapolis, IN 46204 | 2017-09-13 |
| 1912434010 | Latrice N Baxter | Counselor | 201 N. Illinois Street, 16th Floor, South Tower, Indianpolis, IN 46204 | 2017-05-19 |
| 1750820643 | Jcpl, LLC | Optometrist | 751 Massachusetts Ave, Indianapolis, IN 46204 | 2017-02-13 |
| 1922546969 | Makenzie Brinker | Specialist/Technologist | 800 N. Capital Ave, 420, Indianapolis, IN 46204 | 2017-02-10 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1194176263 | Bradley Cox | Dentist | 451 E Market St Apt 448, Indianapolis, IN 46204 | 2016-06-29 |
| Find all providers in zip 46204 | ||||
| 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 |
|---|---|---|---|---|
| 1386256071 | Dylan A Wirick | Specialist/Technologist | 3547 Mechanicsburg Dr, Indianapolis, IN 46227-9626 | 2020-08-23 |
| 1750993267 | Kathryn Ruark | Specialist/Technologist | 625 Canal View Dr Apt G, Indianapolis, IN 46202-6121 | 2020-08-18 |
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1902415508 | Kaitlyn Kendrick | Specialist/Technologist | 2909 Tindall St, Indianapolis, IN 46203-5449 | 2020-07-29 |
| 1447872254 | Ashley Lewandowski | Specialist/Technologist | 2805 S Lynhurst Dr, Indianapolis, IN 46241-5609 | 2020-05-14 |
| 1679193452 | Nijeil Anthony | Specialist/Technologist | 1140 Dr Martin Luther King Jr St, Indianapolis, IN 46202-2221 | 2020-04-21 |
| 1588208359 | Carolyn Aileen Meeker | Specialist/Technologist | 2316 Harvest Moon Ln, Indianapolis, IN 46229-4985 | 2019-11-04 |
| 1235786690 | Dillon Hurst | Specialist/Technologist | 4931 Sunscape Cir Apt 1907, Indianapolis, IN 46237-4638 | 2019-08-21 |
| 1558913814 | Jamie M Wolf | Specialist/Technologist | 5653 Olive Branch Way, Indianapolis, IN 46237-3193 | 2019-07-16 |
| 1861044836 | Christine Bhe | Specialist/Technologist | 6991 Hillsdale Ct, Indianapolis, IN 46250-2054 | 2019-07-10 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46204 |
Please comment or provide details below to improve the information on MR. PAUL KEITH WALNUM.
| 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.