MARY KATE HEDDERMAN (NPI# 1265921845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265921845 |
| Entity Type | Individual |
| Full Name | MARY KATE HEDDERMAN |
| Credential | MS ATC |
| Practice Address |
1400 Washington Ave Albany NY 12222-0100 |
| Practice Telephone | 5185918532 |
| Mailing Telephone | 5185918532 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
000698-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1400 WASHINGTON AVE |
| City | ALBANY |
| State | NY |
| Zip Code | 12222-0100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124185590 | Christine Elizabeth Mcgovern | Physician Assistant | 1400 Washington Ave, University Health Center, Albany, NY 12222-0100 | 2007-01-03 |
| 1588279251 | Stride Services LLC | Counselor | 1400 Washington Ave, Albany, NY 12222 | 2020-09-10 |
| 1497234173 | Stephanie Cerniglia | Specialist/Technologist | 1400 Washington Ave, Albany, NY 12222-0100 | 2018-08-13 |
| 1205315389 | Kyle Lessard | Specialist/Technologist | 1400 Washington Ave, Albany, NY 12222-0100 | 2018-08-09 |
| 1619454709 | State of New York | Orthopaedic Surgery | 1400 Washington Ave, Albany, NY 12222-0100 | 2018-07-23 |
| 1538658216 | Joe William Tegnander | Specialist/Technologist | 1400 Washington Ave, Albany, NY 12222-0100 | 2018-05-08 |
| 1154790426 | Rebecca Sanger | Specialist/Technologist | 1400 Washington Ave, Albany, NY 12222-0100 | 2015-09-17 |
| 1902297641 | State University of New York At Albany | Pharmacy | 1400 Washington Ave, Student Health Services, Albany, NY 12222 | 2015-02-17 |
| 1962830927 | Tania Khan | Student in an Organized Health Care Education/Training Program | 1400 Washington Ave, Ed 220, Albany, NY 12222-0100 | 2013-10-29 |
| 1447539176 | James Broussard | Student in an Organized Health Care Education/Training Program | 1400 Washington Ave, Social Sciences 399, Albany, NY 12222-0100 | 2011-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619533247 | Elisabeth O'rourke | Student in an Organized Health Care Education/Training Program | 1400 Washington Ave Social Sciences 399, Albany, NY 12222-0001 | 2019-05-20 |
| 1982177507 | Matthew Snow | Specialist/Technologist | 1400 Washington Ave Sefcu Arena A25, Albany, NY 12222-0001 | 2019-01-07 |
| 1346739950 | James Franklin Boswell | Psychologist | Social Science 399 1400 Washington Avenue, Albany, NY 12222-0001 | 2018-05-09 |
| 1326537176 | Kimberly Ann Wersted | Specialist/Technologist | 1400 Washington Ave Sefcu A25, Albany, NY 12222-0001 | 2018-05-08 |
| 1659860419 | Patrick Mars | Specialist/Technologist | 1400 Washington Ave Sefcu A-25, Albany, NY 12222-0001 | 2018-05-08 |
| 1174012843 | John Sylak | Specialist/Technologist | 1400 Washington Ave Sefcu Arena A-25, Albany, NY 12222-0001 | 2018-05-08 |
| 1891284550 | Jay Geiger | Specialist/Technologist | University At Albany 1400 Washington Ave, Albany, NY 12222-0001 | 2018-05-08 |
| 1033308770 | Cathleen Anne Lewandowski | Social Worker | University At Albany School of Social Welfare, 135 Western Avenue, Albany, NY 12222-0001 | 2007-10-18 |
| 1740324334 | Graciela Desemone | Internal Medicine | University At Albany Health Ctr, 1400 Washington Avenue, Albany, NY 12222-0001 | 2007-02-16 |
| 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 |
|---|---|---|---|---|
| 1093355794 | Kevin Tarpey | Specialist/Technologist | 140 New Scotland Ave, Albany, NY 12208-3423 | 2020-01-10 |
| 1174169015 | Cheryl Hurd | Specialist/Technologist | 9 Lawn Ave, Albany, NY 12204-2615 | 2019-11-26 |
| 1730731225 | Therese Lisieux Broderick | Specialist/Technologist | 391 W Lawrence St, Albany, NY 12208-2135 | 2019-07-15 |
| 1861950693 | Grace Elizabeth David | Specialist/Technologist | 29805 Amvets Rd, Albany, LA 70711-4218 | 2019-03-11 |
| 1225595754 | Victoria Kreger | Specialist/Technologist | 6311 Rosemarie St Ne, Albany, OR 97321-7407 | 2019-02-20 |
| 1831653740 | Cheyanne Hope Duckson | Specialist/Technologist | 1211 Highview Dr, Albany, MN 56307-9319 | 2019-01-24 |
| 1235603994 | Jacqueline Coyne | Specialist/Technologist | 12 Airline Dr, Albany, NY 12205-1004 | 2019-01-16 |
| 1982177507 | Matthew Snow | Specialist/Technologist | 1400 Washington Ave Sefcu Arena A25, Albany, NY 12222-0001 | 2019-01-07 |
| 1326537176 | Kimberly Ann Wersted | Specialist/Technologist | 1400 Washington Ave Sefcu A25, Albany, NY 12222-0001 | 2018-05-08 |
| 1659860419 | Patrick Mars | Specialist/Technologist | 1400 Washington Ave Sefcu A-25, Albany, NY 12222-0001 | 2018-05-08 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on MARY KATE HEDDERMAN.
| 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.