KAILEN BERRY (NPI# 1265951255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265951255 |
| Entity Type | Individual |
| Full Name | KAILEN BERRY |
| Credential | ATC |
| Practice Address |
1600 E Washington Blvd Fort Wayne IN 46803-1228 |
| Mailing Address |
5133 County Road 69 Saint Joe IN 46785-9753 |
| Practice Telephone | 2604225561 |
| Mailing Telephone | 2609084486 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1600 E WASHINGTON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46803-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265491211 | Kamie Joy Lucas | Specialist/Technologist | 1600 E Washington Blvd, Indiana Institute of Technology, Fort Wayne, IN 46803 | 2006-03-20 |
| 1013453927 | Nathaniel Acree | Specialist/Technologist | 1600 E Washington Blvd, Fort Wayne, IN 46803-1228 | 2017-01-17 |
| 1689784225 | Parkview Hospital | General Acute Care Hospital | 1600 E Washington Blvd, Fort Wayne, IN 46803-1228 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669811931 | Alyssa Kate Elaine Pierce | Registered Nurse | 3044 Schele Ave, Fort Wayne, IN 46803 | 2013-06-20 |
| 1538188164 | Deanna A Young | Counselor | 2020 East Washington Blvd, Suite 700, Fort Wayne, IN 46803 | 2006-07-18 |
| 1164693255 | Aaa Superior, Inc. | Taxi | 1520 E Berry St, Fort Wayne, IN 46803-1001 | 2008-03-17 |
| 1093774796 | Mcgee-lytle Inc | Psychologist | 2020 E Washington Blvd, Suite 650, Fort Wayne, IN 46803-1327 | 2006-03-21 |
| 1770722878 | Jennifer L Malott | Social Worker | 2020 E Washington Blvd, Suite 700, Fort Wayne, IN 46803-1359 | 2009-02-12 |
| 1356583918 | Angela Robbins Gebert | Durable Medical Equipment & Medical Supplies | 5436 Old Maumee Rd, Unit 1, Fort Wayne, IN 46803-1713 | 2009-03-28 |
| 1861895799 | Jessica Buroff | Community Health Worker | 5430 Old Maumee Rd Lot 13, Fort Wayne, IN 46803-1714 | 2014-10-07 |
| 1538632807 | Mariah Ruffin | Respite Care | 1405 Eliza St, Fort Wayne, IN 46803-2035 | 2019-01-09 |
| 1457814139 | Mariah Ruffin | Respite Care | 1405 Eliza St, Fort Wayne, IN 46803-2035 | 2019-04-10 |
| 1346372653 | People of Conviction | Exclusive Provider Organization | 1325 S Anthony Blvd, Fort Wayne, IN 46803-2107 | 2007-03-12 |
| Find all providers in zip 46803 | ||||
| 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 |
|---|---|---|---|---|
| 1699308700 | Jennifer N Peppler | Specialist/Technologist | 3434 Kirkfield Dr, Fort Wayne, IN 46815-5972 | 2020-02-17 |
| 1710519392 | Mitchell Mckay Enyart | Specialist/Technologist | 1617 Randford Pl, Fort Wayne, IN 46815-7635 | 2020-02-11 |
| 1003448671 | Chelsea L Harrison | Specialist/Technologist | 6716 Ramblewood Ct Apt L, Fort Wayne, IN 46835-1760 | 2020-02-11 |
| 1457983223 | Kayla Grotrian | Specialist/Technologist | 5440 Evard Rd, Fort Wayne, IN 46835-1796 | 2020-02-10 |
| 1730711680 | Danielle Rebecca Patton | Specialist/Technologist | 13303 Hawks View Blvd, Fort Wayne, IN 46845-8726 | 2020-02-09 |
| 1780220046 | Kelly Grayson | Specialist/Technologist | 1300 E Washington Center Rd, Fort Wayne, IN 46825-4556 | 2019-11-21 |
| 1265093280 | Emily Maria Giorgi | Specialist/Technologist | 2101 E Coliseum Blvd Ste 100, Fort Wayne, IN 46805-1499 | 2019-06-21 |
| 1194209791 | Autumn Brooke Meece | Specialist/Technologist | 5801 Meadows Dr Apt E, Fort Wayne, IN 46804-7639 | 2018-09-19 |
| 1407358377 | Bryan Black | Specialist/Technologist | 3946 Ice Way Fort Wayne, Fort Wayne, IN 46808 | 2018-03-06 |
| 1275049686 | Julianna Davis | Specialist/Technologist | 615 Vance Ave, Fort Wayne, IN 46805-2143 | 2017-12-20 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46803 |
Please comment or provide details below to improve the information on KAILEN BERRY.
| 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.