JACOB TRAVIS HARTZELL (NPI# 1386109759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386109759 |
| Entity Type | Individual |
| Full Name | JACOB TRAVIS HARTZELL |
| Practice Address |
2195 Harrodsburg Rd Lexington KY 40504-3504 |
| Practice Telephone | 8592571000 |
| Mailing Telephone | 8592571000 |
| Enumeration Date | 2019-02-09 |
| Last Update Date | 2019-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT1488 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2195 HARRODSBURG RD |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821071408 | Samantha Terry | Physician Assistant | 2195 Harrodsburg Rd, Ste 125, Lexington, KY 40504-3504 | 2005-11-28 |
| 1841828977 | Justin Hayes | Student in an Organized Health Care Education/Training Program | 2195 Harrodsburg Rd, Lexington, KY 40504-3516 | 2020-04-01 |
| 1902434814 | Jarrell Huynh Raper | Student in an Organized Health Care Education/Training Program | 2195 Harrodsburg Rd, Lexington, KY 40504-3516 | 2020-03-28 |
| 1174150577 | Luboslav Rosen Dimitrov | Student in an Organized Health Care Education/Training Program | 2195 Harrodsburg Rd, Lexington, KY 40504-3516 | 2020-03-25 |
| 1255999561 | Cole Rinehart | Specialist/Technologist | 2195 Harrodsburg Rd, Lexington, KY 40504-3504 | 2019-06-01 |
| 1811458706 | James Thomas Bastin | Student in an Organized Health Care Education/Training Program | 2195 Harrodsburg Rd, Lexington, KY 40504-3504 | 2019-03-25 |
| 1295295269 | Constance Lents | Student in an Organized Health Care Education/Training Program | 2195 Harrodsburg Rd, Lexington, KY 40504-3504 | 2019-03-25 |
| 1275093742 | Alexander Hykle Wade | Student in an Organized Health Care Education/Training Program | 2195 Harrodsburg Rd, Lexington, KY 40504-3504 | 2019-03-21 |
| 1770043192 | Tyler Matthew Harrell | Student in an Organized Health Care Education/Training Program | 2195 Harrodsburg Rd, Lexington, KY 40504-3504 | 2019-03-21 |
| 1578022448 | Tania Boyechko | Student in an Organized Health Care Education/Training Program | 2195 Harrodsburg Rd, Lexington, KY 40504-3504 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| Find all providers in zip 40504 | ||||
| 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 |
|---|---|---|---|---|
| 1548868334 | Alexander Kenneth Hollingsworth | Specialist/Technologist | 1904 Franklin Ave, Lexington, MO 64067-1705 | 2020-10-13 |
| 1982214433 | Brookelynn Thomason | Specialist/Technologist | 497 Angliana Ave, Lexington, KY 40508-3541 | 2020-08-08 |
| 1093325193 | Phillip Gribble | Specialist/Technologist | 210 Charles Wethington Building 900 South Limestone, Lexington, KY 40536-0200 | 2020-08-04 |
| 1710501143 | Karl Gerlach | Specialist/Technologist | 346 Oldham Ave, Lexington, KY 40502-1720 | 2020-06-01 |
| 1184248809 | David Raphael Tuduri | Specialist/Technologist | 1822 Courtland Dr, Lexington, KY 40505-2311 | 2020-05-29 |
| 1174146294 | Kianna N Anderson | Specialist/Technologist | 26 Penry St, Lexington, NC 27292-2638 | 2020-05-22 |
| 1164041786 | Olivia Szallai | Specialist/Technologist | 295 Alumni Dr, Lexington, KY 40506-0006 | 2020-04-14 |
| 1447896006 | Paige Alison Clawson | Specialist/Technologist | 629 Big Bear Ln, Lexington, KY 40517-2055 | 2019-11-19 |
| 1144865361 | Kyle B Kosik | Specialist/Technologist | 175 N Locust Hill Dr Apt 2204, Lexington, KY 40509-1580 | 2019-11-12 |
| 1821630336 | David Rodwell Walters II | Specialist/Technologist | 112 Twelve Mile Dr, Lexington, SC 29072-3964 | 2019-10-16 |
| Find all providers in LEXINGTON | ||||
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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.