JONATHAN HEYDRICK (NPI# 1356759310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356759310 |
| Entity Type | Individual |
| Full Name | JONATHAN HEYDRICK |
| Credential | ATC, LAT |
| Practice Address |
3030 Waterview Pkwy Richardson TX 75080-1400 |
| Mailing Address |
1612 Westridge Dr Plano TX 75075-8737 |
| Practice Telephone | 9726697070 |
| Mailing Telephone | 2145528690 |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT5871 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3030 WATERVIEW PKWY |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75080-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346333663 | Suzanne Cole | Internal Medicine | 3030 Waterview Pkwy, Richardson, TX 75080 | 2006-09-30 |
| 1386110500 | Lauren Elizabeth Bryan | Physical Therapist | 3030 Waterview Pkwy, Richardson, TX 75080-1400 | 2018-10-15 |
| 1356834451 | Richard J Gaeta | Physical Therapist | 3030 Waterview Pkwy, Richardson, TX 75080-1400 | 2018-06-13 |
| 1558889402 | Jessica Nita Herbst | Social Worker | 3030 Waterview Pkwy, Richardson, TX 75080-1400 | 2017-08-30 |
| 1356796155 | Bliss Puthenpurayil | Family Medicine | 3030 Waterview Pkwy, Richardson, TX 75080-1400 | 2016-04-29 |
| 1043691751 | Nicholas Andreas | Physical Therapist | 3030 Waterview Pkwy, Richardson, TX 75080-1400 | 2015-06-18 |
| 1437551447 | Nene Fortune Ugochukwu | Nurse Practitioner | 3030 Waterview Pkwy, Utsw Ambulatory Care Clinical Sevices, Richardson, TX 75080-1400 | 2014-09-22 |
| 1205235819 | Joshua Jay Nash | Physical Therapist | 3030 Waterview Pkwy, Richardson, TX 75080-1400 | 2014-08-19 |
| 1699112383 | Bryan Paul Morgan | Specialist/Technologist | 3030 Waterview Pkwy, Richardson, TX 75080-1400 | 2013-06-04 |
| 1013351410 | Marium Palur Afzal | Family Medicine | 3030 Waterview Pkwy, Richardson, TX 75080-1400 | 2013-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684717 | Ragan Jones Morales | Counselor | 1702 Gateway Blvd, Suite 349, Richardson, TX 75080 | 2020-09-23 |
| 1316556996 | Medex Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 811 South Central Expressway, Suite #516, Richardson, TX 75080 | 2020-07-29 |
| 1083109342 | Amy Viloria | Occupational Therapy Assistant | 417 W Arapaho Rd, Richardson, TX 75080 | 2018-06-28 |
| 1194228437 | Lesley Ellsworth Hall | Counselor | Thrive Clinical & Natural Therapeutics, Pllc, 2007 N. Collins Suite 301, Richardson, TX 75080 | 2018-03-13 |
| 1538686233 | Apex Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1701 N Collins Blvd Ste 230, Richardson, TX 75080 | 2017-08-24 |
| 1326565292 | Go Operations 6 LLC | Skilled Nursing Facility | 1610 Richardson Drive, Richardson, TX 75080 | 2017-08-23 |
| 1093231649 | Twitches Iom Pllc | Electrodiagnostic Medicine | 3400 Waterview Parkway, Suite 305, Richardson, TX 75080 | 2017-08-16 |
| 1639690340 | Faith Mbarathi | Technician, Other | 1702 North Collins Blvd, Suite 250, Richrdson, TX 75080 | 2017-07-03 |
| 1063933083 | Drew Marie Harvick | Technician, Other | 1702 North Collins Blvd Suite 250, Richardson, TX 75080 | 2017-06-29 |
| 1114447026 | Brenda Marie Fitzgerald | Massage Therapist | 100 S. Central Expressway, #43, Richardson, TX 75080 | 2017-06-21 |
| Find all providers in zip 75080 | ||||
| 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 |
|---|---|---|---|---|
| 1770064818 | Patrick Jan Cua | Specialist/Technologist | 2714 Carnation Dr, Richardson, TX 75082-4257 | 2018-08-27 |
| 1982077053 | National Athletic Trainers' Association | Specialist/Technologist | 1317 Dunbarton Dr, Richardson, TX 75081-5916 | 2015-11-11 |
| 1548664782 | Maria Rosanelli | Specialist/Technologist | 1250 W Belt Line Rd, Richardson, TX 75080-5850 | 2014-10-17 |
| 1215069091 | Stephen Brant Parker | Specialist/Technologist | 6 Gettysburg Ln, Richardson, TX 75080-2301 | 2007-03-09 |
| 1508353392 | Tara Grubbs | Specialist/Technologist | 1600 N Coit Rd, Richardson, TX 75080-2899 | 2018-04-17 |
| 1376058040 | Kerri Kalina | Specialist/Technologist | 800 W Campbell Rd, Richardson, TX 75080-3021 | 2017-12-04 |
| 1972044329 | Victor Nzelu | Specialist/Technologist | 5716 Edinburg Dr, Richardson, TX 75082-2886 | 2017-03-18 |
| 1699112383 | Bryan Paul Morgan | Specialist/Technologist | 3030 Waterview Pkwy, Richardson, TX 75080-1400 | 2013-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932562 | Kyndall Leigh Soukup | Specialist/Technologist | 16002 Rosethorn Ct, Cypress, TX 77429-3490 | 2020-11-03 |
| 1447850631 | Claire Oliver-dehaven | Specialist/Technologist | 7012 Ridgetop Rd, North Richland Hills, TX 76182-3331 | 2020-10-28 |
| 1609476894 | Tessa Mcelroy | Specialist/Technologist | 1606 Trail Glen Ct, Pantego, TX 76013-3152 | 2020-10-28 |
| 1265031702 | Kiana Angelique Leveston | Specialist/Technologist | 2820 W Frey St Apt 7209, Stephenville, TX 76401-1905 | 2020-10-24 |
| 1205435856 | Jessica Moreno | Specialist/Technologist | 3718 Duck Creek Dr, Garland, TX 75043-2962 | 2020-10-23 |
| 1437758612 | Dina Y Scott | Specialist/Technologist | 107 N Greenville Ave Ste B, Allen, TX 75002-9161 | 2020-10-20 |
| 1275131864 | Kasie Bell | Specialist/Technologist | 215 Richland Dr, Kilgore, TX 75662-2049 | 2020-10-15 |
| 1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
| 1538766191 | Francisco Ruben Perez | Specialist/Technologist | 2503 6th St, Lubbock, TX 79409-9806 | 2020-10-07 |
| 1356958128 | Brandi Neeley | Specialist/Technologist | 12131 Kirby Dr, Houston, TX 77045-4857 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | RICHARDSON |
| Zip Code | 75080 |
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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.