JEREMY TAYLOR (NPI# 1205297801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205297801 |
| Entity Type | Individual |
| Full Name | JEREMY TAYLOR |
| Other Name | JAKE TAYLOR |
| Credential | ATC |
| Practice Address |
3833 Stone Ridge Dr Traverse City MI 49684-7219 |
| Practice Telephone | 2315900765 |
| Mailing Telephone | 2315900765 |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184152654 | Jeremy Taylor | Dentist | 481 S High St, Cortland, OH 44410 | 2017-05-30 |
| 1912364092 | Jeremy Taylor | Specialist/Technologist, Other | 1050 Whitney Ranch Dr Apt 216, Henderson, NV 89014-2541 | 2016-01-20 |
| 1912377227 | Jeremy Taylor | Counselor | 3325 Cheverny Cir, Shreveport, LA 71118 | 2015-09-29 |
| 1356605752 | Jeremy Taylor | Internal Medicine | 971 Lakeland Dr Ste 450, Jackson, MS 39216-4615 | 2012-06-29 |
| 1467752329 | Jeremy J Taylor | Chiropractor | 2600 Alemeda St Ste 201, Fort Worth, TX 76108-4042 | 2010-10-26 |
| 1700867983 | Jeremy Wade Taylor | Optometrist | 2207 Portland Rd Ste A, Newberg, OR 97132-1371 | 2005-11-07 |
| 1346804903 | Jeremy Taylor | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2019-04-29 |
| 1992272868 | Jeremy Taylor | Counselor | 2775 State Route 39, Shelby, OH 44875-9466 | 2018-10-30 |
| 1295189991 | Jeremy Taylor | Internal Medicine | 420 Delaware St Se, Mmc 913, Minneapolis, MN 55455-0341 | 2016-04-19 |
| 1770981334 | Jeremy Taylor | Nurse Anesthetist, Certified Registered | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2014-12-15 |
| Street Address |
3833 STONE RIDGE DR |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-7219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| 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 |
|---|---|---|---|---|
| 1013494368 | Alexis Brooke Donovan | Specialist/Technologist | 2636 Oakhill Ln Apt 308, Traverse City, MI 49686-5052 | 2018-07-19 |
| 1013300938 | Ryan Schiller | Specialist/Technologist | 3796 Wemple Rd, Traverse City, MI 49686-9118 | 2015-03-17 |
| 1093153710 | Troy J Blasius | Specialist/Technologist | 514 Barlow St, Traverse City, MI 49686-2780 | 2013-06-05 |
| 1508216623 | Kyle J Hall | Specialist/Technologist | 1110 Hammond Rd E, 5, Traverse City, MI 49686-9362 | 2016-06-20 |
| 1043679269 | Sydney Stiles | Specialist/Technologist | 415 Munson Ave, Traverse City, MI 49686-3059 | 2016-02-16 |
| 1467845578 | Tyler Jay Thompson | Specialist/Technologist | 206 S Elmwood Ave, Traverse City, MI 49684-2326 | 2015-03-13 |
| 1760888465 | Bethany Rohl | Specialist/Technologist | 5222 N Royal Dr, Traverse City, MI 49684-6883 | 2014-11-07 |
| 1306154505 | Karen Allison Miller | Specialist/Technologist | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2010-09-22 |
| 1811018930 | John Wismer Mcdougall | Specialist/Technologist | 550 Munson Ave, Traverse City, MI 49686-3580 | 2007-04-03 |
| 1730208349 | Amy Lynn Ream | Specialist/Technologist | 3643 W Front St, Suite B, Traverse City, MI 49684-7759 | 2007-03-28 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
Please comment or provide details below to improve the information on JEREMY TAYLOR.
| 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.