MR. TIMOTHY KEVIN DRUDGE (NPI# 1366871915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366871915 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY KEVIN DRUDGE |
| Credential | ATC |
| Practice Address |
14455 Clay Terrace Blvd Suite A Carmel IN 46032-3605 |
| Mailing Address |
3907 Brasseur Ln Carmel IN 46033-8419 |
| Practice Telephone | 3174155747 |
| Practice Fax Number | 3174155748 |
| Mailing Telephone | 3173414871 |
| Mailing Fax Number | 3174155748 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2015-02-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36000399A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
14455 CLAY TERRACE BLVD SUITE A |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922076660 | Samantha S Turpin | Specialist/Technologist | 14455 Clay Terrace Blvd, #b, Carmel, IN 46032-3605 | 2006-03-09 |
| 1205457371 | Morgan Pipkin | Specialist/Technologist | 14455 Clay Terrace Blvd, Carmel, IN 46032-3605 | 2020-04-30 |
| 1457888786 | Partson Chinyadza | Specialist/Technologist | 14455 Clay Terrace Blvd, Carmel, IN 46032-3605 | 2017-05-17 |
| 1881980449 | Amy Lynn Corrigan | Family Medicine | 14455 Clay Terrace Blvd, Carmel, IN 46032-3605 | 2011-06-22 |
| 1174554869 | Joel Matthew Kary | Family Medicine | 14455 Clay Terrace Blvd, Carmel, IN 46032-3605 | 2006-07-05 |
| 1225096449 | Justin Hart Miller | Specialist/Technologist | 14455 Clay Terrace Blvd, Suite B, Carmel, IN 46032-3605 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| 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 |
|---|---|---|---|---|
| 1598385072 | Derek White | Specialist/Technologist | 520 E Main St Apt Suite, Carmel, IN 46032-2259 | 2020-04-24 |
| 1174143648 | Kylee Ort | Specialist/Technologist | 14455 Clay Terrace Blvd Unit A, Carmel, IN 46032-3605 | 2020-04-24 |
| 1447885678 | Megan Rose Lugar | Specialist/Technologist | 4501 Camelot Ln, Carmel, IN 46033-3113 | 2020-03-09 |
| 1821553603 | Annaleise Nichole Drudge | Specialist/Technologist | 612 E Greyhound Pass, Carmel, IN 46032-1000 | 2019-02-05 |
| 1023528783 | Ellen Marie Smith | Specialist/Technologist | 3662 E Carmel Dr, Carmel, IN 46033-4317 | 2017-10-09 |
| 1265893754 | Jessica Marie Clanin | Specialist/Technologist | 14455 Clay Terrace Blvd # Ab, Carmel, IN 46032 | 2016-03-11 |
| 1962868083 | Andrea Bily | Specialist/Technologist | 29 Stonegate Ct, Carmel, NY 10512-2427 | 2016-01-05 |
| 1972978500 | Zarah Calvin | Specialist/Technologist | 3565 Bridger Dr N, Carmel, IN 46033-4114 | 2015-12-08 |
| 1689052854 | Karena Monson | Specialist/Technologist | 120 Beechmont Dr, Carmel, IN 46032-1840 | 2015-05-08 |
| 1104240902 | Brett Spack | Specialist/Technologist | 1402 Chase Ct, Carmel, IN 46032-7502 | 2014-02-13 |
| Find all providers in CARMEL | ||||
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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.