MR. KEVIN ALLEN WRIGHT (NPI# 1386686277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386686277 |
| Entity Type | Individual |
| Full Name | MR. KEVIN ALLEN WRIGHT |
| Credential | ATC |
| Practice Address |
24255 Pacific Coast Hwy Pepperdine University Athletics Malibu CA 90263-3999 |
| Mailing Address |
5257 Colodny Dr #c8 Agoura Hills CA 91301-2696 |
| Practice Telephone | 3105064169 |
| Mailing Telephone | 8187062536 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093372906 | Kevin Wright | Dentist | 99 Oak St, Ellsworth, ME 04605-1622 | 2019-05-27 |
| 1235374802 | Kevin Leigh Wright | Counselor | 5197 Se King Rd, Milwaukie, OR 97222-4334 | 2008-12-10 |
| 1780673681 | Kevin C Wright | Radiology | 3614 Victoria Ave, Mount Vernon, IL 62864-2208 | 2005-10-14 |
| 1104813849 | Kevin R. Wright | Physician Assistant | 1259 Rickert Dr, Suite 101, Naperville, IL 60540-8902 | 2005-09-27 |
| 1144877697 | Kevin Wright | Psychologist | 550 Loveland Madeira Rd, Loveland, OH 45140-2714 | 2019-08-20 |
| 1225507742 | Kevin Philip Wright | Nurse Practitioner | 650 Rancocas Rd, Westampton, NJ 08060-5613 | 2018-11-14 |
| 1295227775 | Kevin Wright | Licensed Vocational Nurse | 734 10th Ave, San Diego, CA 92101-6502 | 2018-05-31 |
| 1972023059 | Kevin Lynn Wright | Social Worker | 255 Delaware Ave Ste 300, Buffalo, NY 14202-2017 | 2017-06-21 |
| 1932553849 | Kevin Wright | Counselor | 7750 N Union Blvd, Ste 202, Colorado Springs, CO 80920-4051 | 2016-04-17 |
| 1598107245 | Kevin James Wright | Physical Therapist | 2507 E 27th Ave, Spokane, WA 99223-4908 | 2013-07-23 |
| Street Address |
24255 PACIFIC COAST HWY PEPPERDINE UNIVERSITY ATHLETICS |
| City | MALIBU |
| State | CA |
| Zip Code | 90263-3999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104431451 | Alex Jason Vander Vorste | Specialist/Technologist | 24255 Pacific Coast Hwy, Pepperdine Athletics - Sports Medicine, Malibu, CA 90263 | 2020-09-14 |
| 1043867971 | Pepperdine University | Clinic/Center | 24255 Pacific Coast Hwy, Malibu, CA 90263-3999 | 2019-08-26 |
| 1275186025 | Karissa Ann Scherer | Specialist/Technologist | 24255 Pacific Coast Hwy, Malibu, CA 90263-3999 | 2019-07-22 |
| 1861917577 | Nicole Mariko Elby | Physical Therapist | 24255 Pacific Coast Hwy, Malibu, CA 90263-3999 | 2017-08-03 |
| 1063967016 | Katherine Sniffen | Specialist/Technologist | 24255 Pacific Coast Hwy, Athletic Department, Malibu, CA 90263-3999 | 2016-08-19 |
| 1649661661 | Pepperdine University | Chiropractor | 24255 Pacific Coast Hwy, Malibu, CA 90263-3999 | 2015-02-12 |
| 1255547667 | Kathleen Eldridge | Psychologist | 24255 Pacific Coast Hwy, Malibu, CA 90263-3999 | 2007-05-15 |
| 1518082544 | Geliann Kitsigianis | Internal Medicine | 24255 Pacific Coast Hwy, Malibu, CA 90263-3999 | 2007-03-20 |
| 1073647640 | Nancy Safinick | Physician Assistant | 24255 Pacific Coast Hwy, Malibu, CA 90263-3999 | 2007-03-15 |
| 1295865160 | Lucy Kaiser Larson | Pediatrics | 24255 Pacific Coast Hwy, Pepperdine Student Health Center, Malibu, CA 90263-3999 | 2007-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619198355 | Amber Clemmons-trigueros | Counselor | 24255 Pacific Coast Hwy # 3707, Malibu, CA 90263-3999 | 2007-05-01 |
| 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 |
|---|---|---|---|---|
| 1104431451 | Alex Jason Vander Vorste | Specialist/Technologist | 24255 Pacific Coast Hwy, Pepperdine Athletics - Sports Medicine, Malibu, CA 90263 | 2020-09-14 |
| 1275186025 | Karissa Ann Scherer | Specialist/Technologist | 24255 Pacific Coast Hwy, Malibu, CA 90263-3999 | 2019-07-22 |
| 1063967016 | Katherine Sniffen | Specialist/Technologist | 24255 Pacific Coast Hwy, Athletic Department, Malibu, CA 90263-3999 | 2016-08-19 |
| 1437257821 | Frank John Shearer | Specialist/Technologist | 24255 Pacific Coast Hwy, Department of Athletics, Pepperdine University, Malibu, CA 90263-3999 | 2006-09-20 |
| 1174639355 | Nicole Denise Bulick | Specialist/Technologist | 24255 Pacific Coast Hwy, Malibu, CA 90263-3999 | 2006-08-21 |
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| 1548869571 | Joshua Watersjackson | Specialist/Technologist | 430406 Las Pulgas, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1063011278 | Hilary Ann King | Specialist/Technologist | 824 W Maple Ave, Tulare, CA 93274-2609 | 2020-10-19 |
| 1568069854 | Tess Buchanan | Specialist/Technologist | 4480 Leatherwood Ct, Concord, CA 94521-4416 | 2020-10-08 |
| 1407453343 | Peter Wang | Specialist/Technologist | 3034 Belmont Dr, Lodi, CA 95242-9732 | 2020-10-05 |
| 1164029138 | Marisa Angelina Terrazas | Specialist/Technologist | 1416 Rampart Dr, Roseville, CA 95661-4749 | 2020-10-02 |
| 1427665645 | Alvaro Juarez Jr. | Specialist/Technologist | 31550 Palomar Rd, Menifee, CA 92584-9258 | 2020-09-30 |
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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.