SCOTT KELLY (NPI# 1356882625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356882625 |
| Entity Type | Individual |
| Full Name | SCOTT KELLY |
| Practice Address |
21840 Nw 218th Ter High Springs FL 32643-9081 |
| Practice Telephone | 3157718147 |
| Mailing Telephone | 3157718147 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891526 | Scott Andrew Kelly | Military Health Care Provider | 242 Avenida Pelayo Unit A, San Clemente, CA 92672-5033 | 2020-01-29 |
| 1609998632 | Scott Michael Kelly | Specialist/Technologist | 1701 E Colter St Apt 209, Phoenix, AZ 85016-3374 | 2007-04-03 |
| 1477632396 | Scott S Kelly | Dentist | 116 W John St, Maumee, OH 43537-2145 | 2006-11-02 |
| 1467434357 | Scott Patrick Kelly | Emergency Medicine | Oaklawn Hospital, 200 N. Madison St., Marshall, MI 49068 | 2005-11-16 |
| 1295211001 | Scott Edward Kelly | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2018-07-15 |
| 1811126105 | Scott Douglas Kelly | Ophthalmology | 2610 S Ih 35, Austin, TX 78704-5703 | 2009-07-07 |
| 1184892051 | Scott A Kelly | Psychologist | 3125 W Main St, Kalamazoo, MI 49006-2997 | 2008-02-13 |
| 1548389166 | Scott Andrew Kelly | Chiropractor | 16902 Southwest Fwy, Suite 100, Sugar Land, TX 77479-2350 | 2007-03-28 |
| 1215088406 | Scott M Kelly | Anesthesiology | 1229 Madison St, Suite 1440, Seattle, WA 98104-3586 | 2007-01-15 |
| 1962508093 | Scott Munro Kelly | Urology | 1004 1st St N, Suite 320, Alabaster, AL 35007-8766 | 2006-09-16 |
| Street Address |
21840 NW 218TH TER |
| City | HIGH SPRINGS |
| State | FL |
| Zip Code | 32643-9081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003375726 | Bahman Sahranavard Sr. | Counselor | Rania Main St., Rania, SOLAYMAIA 32643 | 2019-03-13 |
| 1396224036 | Roszina Williams | Nurse's Aide | 18998 Nw 253 Street, High Springs, FL 32643 | 2018-08-13 |
| 1760700637 | High Springs Pediatrics LLC | Pediatrics | 210 Nw 1st Avenue, High Springs, FL 32643 | 2010-05-17 |
| 1306094800 | Cox & Hanley Dmd Plc | Dentist | 23321 N. W. Cr 236, High Springs, FL 32643 | 2008-09-09 |
| 1013119940 | Gene H. Petteway | Pharmacist | 1080 N W Santa Fe Blvd, High Sprngs, FL 32643 | 2007-06-04 |
| 1538381363 | Ian C Dennis | Dentist | 60 South Main Street, High Springs, FL 32643 | 2007-05-02 |
| 1831231000 | Craig Gardner | Massage Therapist | 220 Nw 4th St, High Springs, FL 32643 | 2007-02-13 |
| 1689722779 | Nancy L Linkous | Massage Therapist | 425 Ne Santa Fe Blvd., High Springs, FL 32643 | 2007-01-08 |
| 1356362651 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 20303 N Us Hwy 441, High Springs, FL 32643 | 2006-07-21 |
| 1417901125 | Sheryl Marie Heath | Nurse Practitioner | 9513 Nw Sr 45, High Springs, FL 32643 | 2006-05-19 |
| Find all providers in zip 32643 | ||||
| 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 |
|---|---|---|---|---|
| 1811597560 | Hannah Ogle | Specialist/Technologist | 110 Gloria Drive, Hollister, FL 32147 | 2020-10-30 |
| 1740889377 | Ryan Michael Hill | Specialist/Technologist | 314 S Habana Ave, Tampa, FL 33609-3223 | 2020-10-24 |
| 1568061182 | Lester Vivian Leon Ferdinand | Specialist/Technologist | 6705 S Red Rd Ste 410, South Miami, FL 33143-3644 | 2020-10-24 |
| 1770182651 | Sarah Danielle Combs | Specialist/Technologist | 4521 Lenmore Street, Orlando, FL 32812 | 2020-10-21 |
| 1679170369 | David S Duchin | Specialist/Technologist | 19033 Nw 23rd Ct, Pembroke Pines, FL 33029-5337 | 2020-10-06 |
| 1750988838 | Jade Shields | Specialist/Technologist | 144 Enrede Ln, Saint Augustine, FL 32095-7436 | 2020-10-02 |
| 1639786940 | Dewayne N Dubose | Specialist/Technologist | 344 Chesham St, Ormond Beach, FL 32174-0692 | 2020-09-30 |
| 1467069914 | Alison M Dougan | Specialist/Technologist | 3345 Cypress Legends Cir Apt 1104, Fort Myers, FL 33905-5542 | 2020-09-29 |
| 1225643240 | Megan Marisa Fox | Specialist/Technologist | 5803 Marta Dr, Tampa, FL 33617-1125 | 2020-09-15 |
| 1104430305 | Nikki Page Keown | Specialist/Technologist | 12136 Luftburrow Ln, Hudson, FL 34669-5005 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | HIGH SPRINGS |
| Zip Code | 32643 |
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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.