JESSIE FONG (NPI# 1316457344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316457344 |
| Entity Type | Individual |
| Full Name | JESSIE FONG |
| Credential | ATC |
| Practice Address |
1 Cunningham Sq Providence RI 02918-7001 |
| Practice Telephone | 4018651198 |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-04 |
| Gender Code | F |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619011186 | Jessie J Fong | Pharmacist | 621 Commerce St, Earle, AR 72331-1616 | 2007-02-17 |
| Street Address |
1 CUNNINGHAM SQ |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02918-7001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932453875 | Michele Zielinski | Specialist/Technologist | 1 Cunningham Sq, Attn: Sports Medicine, Providence, RI 02918-0001 | 2012-10-30 |
| 1053941526 | Amy Ludovici | Physical Medicine & Rehabilitation | 1 Cunningham Sq, Providence, RI 02918-7001 | 2020-01-23 |
| 1134699812 | Rachel A Eaton | Nurse Practitioner | 1 Cunningham Sq, Providence, RI 02918-7001 | 2018-11-26 |
| 1417493107 | John Rock | Specialist/Technologist | 1 Cunningham Sq, Athletics-alumni Hall, Providence, RI 02918-7001 | 2017-01-18 |
| 1174911630 | Lindsey Anne Laturnau | Family Medicine | 1 Cunningham Sq, Alumni Hall, Providence, RI 02918-0001 | 2015-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104024066 | Joseph J Guido | Psychologist | Providence College, 549 River Avenue, Providence, RI 02918-0001 | 2007-07-03 |
| 1992814941 | Robert Louis Dufresne | Pharmacist | Providence Va Medical Ctr, 830 Chalkstone Ave, Providence, RI 02918-0001 | 2006-08-30 |
| 1083727739 | Bryn Christopher Vanpatten | Emergency Medical Technician, Intermediate | Providence College 1 Cunningham Sq, Canavan Sports Medicine Center - Alumni Hall, Providence, RI 02918-0001 | 2006-08-16 |
| 1457364101 | Kristen M Duhamel | Specialist/Technologist | Providence College Alumni Hall, 549 River Avenue, Providence, RI 02918-0001 | 2006-08-14 |
| 1154365054 | Cynthia J Buckley | Nurse Practitioner | Providence College Student Health Services, 549 River Ave, Providence, RI 02918-0001 | 2006-06-15 |
| 1932333010 | Christopher Michael Fortunato | Social Worker | Providence College, 1 Cunningham Square, Providence, RI 02918-0001 | 2009-05-05 |
| 1699877639 | James M Silva | Pharmacist | 830 Chalkstone Ave, Providence, RI 02918-0001 | 2006-09-01 |
| 1558508598 | Providence College Student Health Services | Clinic/Center | 549 River Ave, Providence, RI 02918-7000 | 2009-01-13 |
| 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 |
|---|---|---|---|---|
| 1689148744 | Kelsey Elizabeth Harrold | Specialist/Technologist | 770 Westminster St, Providence, RI 02903-4019 | 2019-01-11 |
| 1881165447 | Joyce Ann Champlin Freeman | Specialist/Technologist | 250 Lloyd Ave, Providence, RI 02906-2313 | 2018-12-07 |
| 1558758664 | Brian Michael Daigneault | Specialist/Technologist | 229 Hope St Box 1933, Providence, RI 02912-0001 | 2015-04-16 |
| 1154741890 | Hiroki Uchino | Specialist/Technologist | 319 Indiana Ave, Providence, RI 02905-2822 | 2014-04-21 |
| 1932453875 | Michele Zielinski | Specialist/Technologist | 1 Cunningham Sq, Attn: Sports Medicine, Providence, RI 02918-0001 | 2012-10-30 |
| 1104957620 | Russell D. Fiore | Specialist/Technologist | Brown University, 235 Hope St, Providence, RI 02912-0001 | 2007-03-08 |
| 1457364101 | Kristen M Duhamel | Specialist/Technologist | Providence College Alumni Hall, 549 River Avenue, Providence, RI 02918-0001 | 2006-08-14 |
| 1114989647 | Nathan Withington | Specialist/Technologist | 216 Hope St, Providence, RI 02906-2214 | 2006-04-02 |
| 1477514842 | Alan Segee | Specialist/Technologist | 8 Abbott Park Pl, Athletic Department, Providence, RI 02903-3703 | 2006-03-28 |
| 1306834056 | Robert A. Riebe | Specialist/Technologist | 285 Promenade St, Providence, RI 02908-5719 | 2005-10-06 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02918 |
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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.