KATHRYN FONSECA (NPI# 1356819593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356819593 |
| Entity Type | Individual |
| Full Name | KATHRYN FONSECA |
| Credential | LAT, ATC |
| Practice Address |
1 University Drive Pembroke NC 28372 |
| Practice Telephone | 6785483916 |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2019-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
LAT-4307 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1 UNIVERSITY DRIVE |
| City | PEMBROKE |
| State | NC |
| Zip Code | 28372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194282285 | University of North Carolina At Pembroke | Nurse Practitioner | 1 University Drive, Brave Health Center, Pembroke, NC 28372 | 2019-02-25 |
| 1073729166 | Mary-jeanne Raleigh | Counselor | 1 University Drive, Chavis University Center, Pembroke, NC 28372-1510 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962977 | Kayla J Oxendine | Counselor | 86 Threehunts Drive, Pembroke, NC 28372 | 2020-11-03 |
| 1720688401 | Melissa Claire Kratz | Pharmacist | 930 Hwy 711 East, Pembroke, NC 28372 | 2020-10-30 |
| 1841775681 | Nikki Locklear | Counselor | 86 Three Hunts Dr., Pembroke, NC 28372 | 2018-09-27 |
| 1043703218 | Julie Anne Harrison-swartz | Nurse Practitioner | Uncp Student Health, 113 Hawk Drive, Pembroke, NC 28372 | 2018-06-12 |
| 1134627508 | William Dixon | Specialist/Technologist | One University Drive, Pembroke, NC 28372 | 2018-01-31 |
| 1740796291 | A Primary Choice, Inc. | In Home Supportive Care | 208 Union Chapel Road, Suite D, Pembroke, NC 28372 | 2017-12-20 |
| 1578924130 | William Joshua Johnson | Nurse Practitioner | 3334 Moss Neck Road, Pembroke, NC 28372 | 2016-03-10 |
| 1831560234 | Sungjun Jung | Pharmacist | 930 Nc Hwy 711 E, Pembroke, NC 28372 | 2015-10-12 |
| 1154715027 | Lilly Marie Shorter | Counselor | 86 Three Hunt Drive, Pembroke, NC 28372 | 2015-03-27 |
| 1487046728 | Eye Heart You Home Health, LLC | Public Health or Welfare | 925 University Road, Pembroke, NC 28372 | 2015-02-24 |
| Find all providers in zip 28372 | ||||
| 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 |
|---|---|---|---|---|
| 1407359896 | Yanira Delao | Specialist/Technologist | 104 Clifton St, Pembroke, NC 28372-7881 | 2018-03-13 |
| 1134627508 | William Dixon | Specialist/Technologist | One University Drive, Pembroke, NC 28372 | 2018-01-31 |
| 1497284756 | Chantal Georgianna Filiau | Specialist/Technologist | 431 Micol Rd., Pembroke, NH 03275 | 2017-06-08 |
| 1023646742 | Devan Tyler Penny | Specialist/Technologist | 1 University Rd, Pembroke, NC 28372-8699 | 2020-03-29 |
| 1629606348 | Lakindra Niara Mcknight | Specialist/Technologist | 1 University Rd, Pembroke, NC 28372-8699 | 2020-03-29 |
| 1770119117 | Joseph Perez | Specialist/Technologist | 1 University Rd, Pembroke, NC 28372-8699 | 2020-03-17 |
| 1114550290 | Carlos Miguel Rivera Jr. | Specialist/Technologist | 1 University Rd, Pembroke, NC 28372-8699 | 2020-02-18 |
| 1700387982 | Ashlyn Kay Jones | Specialist/Technologist | 1 University Dr, Pembroke, NC 28372 | 2018-02-23 |
| 1760982425 | Michael Musselwhite | Specialist/Technologist | 1 University Rd, Pembroke, NC 28372-8699 | 2018-02-19 |
| 1457851214 | Katherine Nicole Younker | Specialist/Technologist | 1 University Rd, Pembroke, NC 28372-8699 | 2018-02-19 |
| Find all providers in PEMBROKE | ||||
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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.