JESSE TITTLE (NPI# 1396296109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396296109 |
| Entity Type | Individual |
| Full Name | JESSE TITTLE |
| Credential | ATC, LAT |
| Practice Address |
1100 Reid Pkwy Richmond IN 47374-1157 |
| Mailing Address |
204 N 5th St Richmond IN 47374-3013 |
| Practice Telephone | 7659833092 |
| Mailing Telephone | 5633571489 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT003116 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
261106063 | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1100 REID PKWY |
| City | RICHMOND |
| State | IN |
| Zip Code | 47374-1157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801891189 | Michael J Buckmaster | Surgery | 1100 Reid Pkwy, Suite 215, Richmond, IN 47374-1157 | 2005-06-14 |
| 1740888288 | David J Warwick | Nurse Practitioner | 1100 Reid Pkwy, Richmond, IN 47374-1157 | 2020-10-16 |
| 1366040065 | Adebisi Mary Adeyemi | Student in an Organized Health Care Education/Training Program | 1100 Reid Pkwy, Richmond, IN 47374-1157 | 2020-10-14 |
| 1629688890 | Zachary Hayes | Nurse Practitioner | 1100 Reid Pkwy, Richmond, IN 47374-1157 | 2020-08-03 |
| 1326667684 | Ibrahim Ali Khan | Student in an Organized Health Care Education/Training Program | 1100 Reid Pkwy, Richmond, IN 47374-1157 | 2020-04-15 |
| 1215566575 | Jonathan A Adams | Student in an Organized Health Care Education/Training Program | 1100 Reid Pkwy, Richmond, IN 47374-1157 | 2020-04-07 |
| 1003445958 | Kimberly Carhuatanta | Student in an Organized Health Care Education/Training Program | 1100 Reid Pkwy, Richmond, IN 47374-1157 | 2020-04-03 |
| 1942839717 | Abdallah Saleh | Student in an Organized Health Care Education/Training Program | 1100 Reid Pkwy, Richmond, IN 47374-1157 | 2020-04-03 |
| 1851920748 | Dustin Cundiff | Student in an Organized Health Care Education/Training Program | 1100 Reid Pkwy, Richmond, IN 47374-1157 | 2020-04-03 |
| 1861021735 | Waiel Almardini | Student in an Organized Health Care Education/Training Program | 1100 Reid Pkwy, Richmond, IN 47374-1157 | 2020-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
| 1699274472 | Happy Hearts Home Care Corp | In Home Supportive Care | 335 Sw 17th Street, Richmond, IN 47374 | 2018-02-07 |
| 1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
| 1023538899 | Andrea Dengler | Registered Nurse | 1501 Chester Blvd., Reid Urgent Care, Richmond, IN 47374 | 2017-06-22 |
| 1497284186 | Lindsay A Worley | Nurse Practitioner | 1050 Reid Pkwy, Ste. 325, Urological Care, Richmond, IN 47374 | 2017-06-07 |
| 1689112039 | Shantil Dickerson | Physical Therapist | 22 Nw 11th St., Richmond, IN 47374 | 2017-02-06 |
| 1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
| 1538564216 | Lauren Joos | Physician Assistant | 1380 Lakeview Court, Richmond, IN 47374 | 2014-10-23 |
| 1588074421 | Emily Rutherford | Pharmacist | 2057 Chester Blvd, Richmond, IN 47374 | 2014-04-30 |
| 1922357870 | Elizabeth Ann Mullins | Social Worker | 301 South 4th St., Richmond, IN 47374 | 2012-09-06 |
| Find all providers in zip 47374 | ||||
| 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 |
|---|---|---|---|---|
| 1295335487 | Sukyoon Chang | Specialist/Technologist | 6001 Grove Ave, Richmond, VA 23226-2603 | 2020-10-28 |
| 1063037166 | Ronald Lee Ennis Jr. | Specialist/Technologist | 307 Henley Rd, Richmond, IN 47374-5946 | 2020-06-15 |
| 1841827326 | Sierra L Hobbs | Specialist/Technologist | 1300 W Broad St Ste 113, Richmond, VA 23284-9089 | 2020-03-25 |
| 1033742853 | Courtney Colleen Taylor | Specialist/Technologist | 28 Westhampton Way Robins Center, Richmond, VA 23173-0001 | 2020-02-20 |
| 1386274454 | Josie Mcmahon | Specialist/Technologist | 2005 E Franklin St Apt 320, Richmond, VA 23223-7461 | 2020-01-17 |
| 1699311910 | Halley Crum | Specialist/Technologist | 2325 Chester Blvd, Richmond, IN 47374-1220 | 2019-11-21 |
| 1083260251 | Nicole Elizabeth Valdecanas | Specialist/Technologist | 6718 Little Haven Ct, Richmond, TX 77469-9861 | 2019-08-14 |
| 1194282459 | Alyson Joy Buehler | Specialist/Technologist | 634b Hampton Way, Richmond, KY 40475-8234 | 2019-02-22 |
| 1811454374 | Kendall Braunreiter | Specialist/Technologist | 17302 Hanoverian Dr, Richmond, TX 77407-2710 | 2019-02-20 |
| 1760946545 | Fiona Lefresne | Specialist/Technologist | 221 S 48th St, Richmond, IN 47374-6044 | 2019-01-26 |
| Find all providers in RICHMOND | ||||
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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.