KYLE JAMES DOMIN (NPI# 1306364997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306364997 |
| Entity Type | Individual |
| Full Name | KYLE JAMES DOMIN |
| Practice Address |
605 Washington Street Fayette IA 52142 |
| Mailing Address |
605 Washington St Fayette IA 52142-9206 |
| Practice Telephone | 6304188352 |
| Enumeration Date | 2017-09-02 |
| Last Update Date | 2017-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
605 WASHINGTON STREET |
| City | FAYETTE |
| State | IA |
| Zip Code | 52142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114372752 | Ryan Scott Fonkert | Specialist/Technologist | 605 Washingtone Street, Fayette, IA 52142 | 2016-05-02 |
| 1487871273 | Total Builders | Durable Medical Equipment & Medical Supplies | 210 S. Main St., Box 698, Fayette, IA 52142 | 2007-04-20 |
| 1053366518 | Gundersen Clinic, Ltd. | Clinic/Center | 110 King Street, Fayette, IA 52142 | 2006-05-23 |
| 1811992548 | Steven W Greenwaldt | Physician Assistant | 110 King Street, Fayette, IA 52142-0157 | 2005-06-17 |
| 1649205469 | City of Fayette | Ambulance | 11 South Main, Fayette, IA 52142-0340 | 2006-07-11 |
| 1316044654 | Kirk A Abernathy | Chiropractor | 139 South Main Street, Fayette, IA 52142-0578 | 2006-09-20 |
| 1639444235 | Charming Smiles PC | Clinic/Center | 143 S Main St, Fayette, IA 52142-7701 | 2012-03-14 |
| 1902464415 | Takuya Suzuki | Specialist/Technologist | 400 Jones St, Fayette, IA 52142-9180 | 2019-05-30 |
| 1245857515 | Winneshiek Medical Center | Clinic/Center | 605 Washington St, Fayette, IA 52142-9206 | 2020-07-02 |
| 1992335806 | Kailyn Weber | Specialist/Technologist | 605 Washington St, Fayette, IA 52142-9206 | 2020-01-20 |
| Find all providers in zip 52142 | ||||
| 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 |
|---|---|---|---|---|
| 1902464415 | Takuya Suzuki | Specialist/Technologist | 400 Jones St, Fayette, IA 52142-9180 | 2019-05-30 |
| 1114372752 | Ryan Scott Fonkert | Specialist/Technologist | 605 Washingtone Street, Fayette, IA 52142 | 2016-05-02 |
| 1700859386 | Melinda Dillard Wilson | Specialist/Technologist | 2631 Temple Ave N, Fayette, AL 35555-1157 | 2006-02-13 |
| 1952399776 | Rick Errett Sage | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2005-10-06 |
| 1992335806 | Kailyn Weber | Specialist/Technologist | 605 Washington St, Fayette, IA 52142-9206 | 2020-01-20 |
| 1801426713 | Noah Mathias Rogers | Specialist/Technologist | 605 Washington St, Fayette, IA 52142-9206 | 2020-01-20 |
| 1447880356 | Caitlin Himes | Specialist/Technologist | 605 Washington St, Fayette, IA 52142-9206 | 2020-01-20 |
| 1730726951 | Jeanette Ellen Leal | Specialist/Technologist | 605 Washington St, Fayette, IA 52142-9206 | 2019-12-06 |
| 1346734423 | Kimberly Mikulan | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2018-06-21 |
| 1013429851 | Kelsey Nicole Stuenkel | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2017-11-02 |
| Find all providers in FAYETTE | ||||
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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.