JACK FAMIGLIO (NPI# 1346616190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346616190 |
| Entity Type | Individual |
| Full Name | JACK FAMIGLIO |
| Credential | ATC |
| Practice Address |
1221 S Clearview Pkwy New Orleans LA 70121-1011 |
| Mailing Address |
400 Metairie Hammond Hwy Metairie LA 70005-1383 |
| Practice Telephone | 5048424000 |
| Mailing Telephone | 9543097954 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
ATH.200458 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1221 S CLEARVIEW PKWY |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70121-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790347276 | Aaron Christopher Bollich | Physician Assistant | 1221 S Clearview Pkwy, New Orleans, LA 70121-1011 | 2019-07-03 |
| 1205355690 | Jessica Lynn Davis | Specialist/Technologist | 1221 S Clearview Pkwy, New Orleans, LA 70121-1011 | 2017-09-17 |
| 1346777166 | Christopher Mercadel Jr. | Physician Assistant | 1221 S Clearview Pkwy, New Orleans, LA 70121-1011 | 2017-05-11 |
| 1154724029 | Lynsey Anne Shaffer | Physician Assistant | 1221 S Clearview Pkwy, New Orleans, LA 70121-1011 | 2014-10-06 |
| 1366691933 | Ochsner Clinic LLC | Durable Medical Equipment & Medical Supplies | 1221 S Clearview Pkwy, New Orleans, LA 70121-1011 | 2008-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437772191 | Carlos Andres Cevallos | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, New Orleans, LA 70121 | 2020-05-28 |
| 1497375257 | Vipin Varghese | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, Bh 629, New Orleans, LA 70121 | 2020-04-22 |
| 1790255396 | Irianne Nicholas | Specialist/Technologist | 1201 South Clearview Parkway, Jefferson, LA 70121 | 2018-11-27 |
| 1225504889 | George Andrews | Orthopaedic Surgery | Ochsner Health System, 1514 Jefferson Highway, New Orleans, LA 70121 | 2018-10-22 |
| 1295213494 | Shima Abdulhameed A Aziz | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Highway, Ochsner Clinic Foundation, New Orleans, LA 70121 | 2018-07-31 |
| 1396238721 | Treasure S Lucas | Case Manager/Care Coordinator | 827 Causeway Blvd Ste 206, Jefferson, LA 70121 | 2018-06-11 |
| 1396240909 | Jasmine Kaur Bahd | Student in an Organized Health Care Education/Training Program | 1401 Jefferson Highway, Academic Center 1st Floor, New Orleans, LA 70121 | 2018-03-26 |
| 1649774480 | William Shamus Rohn | Student in an Organized Health Care Education/Training Program | 137 Jules Ave, Jefferson, LA 70121 | 2018-03-19 |
| 1295262665 | Uday Shanker Nadimpally | Student in an Organized Health Care Education/Training Program | Ochsner Clinic Foundation, 1514, Jefferson Hwy, New Orleans, LA 70121 | 2017-05-17 |
| 1700324084 | Magnolia Community Services, Inc | Intermediate Care Facility, Mentally Retarded | 821 Jefferson Heights Ave., Jefferson, LA 70121 | 2017-02-07 |
| Find all providers in zip 70121 | ||||
| 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 |
|---|---|---|---|---|
| 1336750306 | Margaret Anne Schladenhauffen | Specialist/Technologist | 131 S Jeff Davis Pkwy Unit 100, New Orleans, LA 70119-6227 | 2020-08-13 |
| 1609486885 | Jasmine Joane Anderson | Specialist/Technologist | 1228 S Genois St, New Orleans, LA 70125-1724 | 2020-08-03 |
| 1922521467 | Amy Mcdonald | Specialist/Technologist | 2950 Ben Weiner Dr., Tulane Univ., Athletic Training Rm, 1st Floor, New Orleans, LA 70118 | 2017-07-17 |
| 1760910848 | Tyler Tunnell | Specialist/Technologist | James Wilson Center, 333 Ben Weiner Drive, New Orleans, LA 70118 | 2017-06-01 |
| 1821445024 | Gena Falgout | Specialist/Technologist | 1520 N Claiborne Ave, New Orleans, LA 70116-1340 | 2016-05-17 |
| 1467826966 | Ethan Alan Solger | Specialist/Technologist | 333 James W Wilson Jr Center, New Orleans, LA 70118 | 2015-11-20 |
| 1558735142 | Albert Charles Lindon IIi | Specialist/Technologist | 333 Ben Weiner Dr, New Orleans, LA 70118 | 2015-11-19 |
| 1376917963 | Alexandra Fruetel | Specialist/Technologist | 635 North Scott Street, Unit 15, New Orleans, LA 70119 | 2015-11-19 |
| 1356713622 | Shinji Tsumura | Specialist/Technologist | 4401 Elysian Fields Ave, New Orleans, LA 70122-3811 | 2015-10-27 |
| 1396117677 | Brandon Cazaubon | Specialist/Technologist | 6648 Louisville St, New Orleans, LA 70124-3226 | 2015-10-26 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70121 |
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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.