MS. RENEE CANDACE MICKEY (NPI# 1396366191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396366191 |
| Entity Type | Individual |
| Full Name | MS. RENEE CANDACE MICKEY |
| Credential | ATC, LAT, MS, PES |
| Practice Address |
89 Messenger Rd Apt C2 Cookeville TN 38506-5781 |
| Practice Telephone | 9109955262 |
| Mailing Telephone | 9109955262 |
| Enumeration Date | 2020-05-03 |
| Last Update Date | 2020-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1777 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
89 MESSENGER RD APT C2 |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38506-5781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538782909 | Eric E Tywon | Physical Therapy Assistant | 1519 East Spring St Ste G, Cookeville, TN 38506 | 2020-05-20 |
| 1669955316 | Charaya Chontay Upton | Counselor | 128 Bilbrey St Apt 1, Cookeville, TN 38506 | 2018-09-10 |
| 1639655368 | Bunker Hill Staffing Urgent Care LLC | Clinic/Center | 1300 Bunker Hill Rd Ste B, Cookeville, TN 38506 | 2018-07-16 |
| 1659887545 | Rocky Mountain Holdings, Lcc | Ambulance | 4570 S Jefferson Ave, Cookeville, TN 38506 | 2017-12-14 |
| 1093235665 | Luis Filipe Mariusso | Dentist | 1640 Salem Rd, Cookeville, TN 38506 | 2017-06-23 |
| 1538611264 | Tammy Mccoy | Counselor | 4900 Rocky Point Rd, Cookeville, TN 38506 | 2016-10-28 |
| 1063964799 | Bunker Hill Staffing LLC | Nurse Practitioner | 1300 Bunker Hill Rd Ste A, Cookeville, TN 38506 | 2016-10-28 |
| 1679942155 | Upper Cumberland Family Dentistry | Dentist | 554 West Main Street, Algood, TN 38506 | 2015-09-15 |
| 1124376272 | Steven T Ford | Counselor | 568 Scenic Lane, Cookeville, TN 38506 | 2012-08-21 |
| 1780961169 | Heather Harden Cathey | Nurse Practitioner | 1120 Sam's Street, Cookeville, TN 38506 | 2011-11-14 |
| Find all providers in zip 38506 | ||||
| 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 |
|---|---|---|---|---|
| 1932723426 | Lexa Mclauchlin | Specialist/Technologist | 2980 W Haven Dr, Cookeville, TN 38501-5622 | 2020-06-01 |
| 1932643665 | Anthony R. Walukonis | Specialist/Technologist | 1160 N Peachtree, Cookeville, TN 38505-0001 | 2016-12-14 |
| 1053728535 | Adam Graham | Specialist/Technologist | 1160 N Peachtree Rd Es Rm 114, Box 5102, Cookeville, TN 38505-0001 | 2014-07-17 |
| 1477743896 | Russell David Darley | Specialist/Technologist | Box 5102, 1160 N Peachtree Rm 114, Cookeville, TN 38505-0001 | 2007-08-01 |
| 1174732507 | Ryan Louis Zink | Specialist/Technologist | 1160 N Peachtree-room # 114, Cookeville, TN 38505-0001 | 2007-05-22 |
| 1487776977 | Charles Wheeler | Specialist/Technologist | 2728 Preakness Dr, Cookeville, TN 38506-5614 | 2007-04-04 |
| 1619905759 | Vernita Reena Young | Specialist/Technologist | Mid-state Sports Medicine, 221 N. Oak Ave, Cookeville, TN 38501 | 2006-06-29 |
| 1366487951 | Jennifer Marie Winningham | Specialist/Technologist | Tennessee Tech University Sports Medicine, 1600 Peachtree Ave, Cookeville, TN 38505-0001 | 2006-06-18 |
| 1144282062 | Christopher M Clifford | Specialist/Technologist | 1160 N. Peachtree Rm 114, Cookeville, TN 38505-0001 | 2006-04-05 |
| 1801858998 | Brent Rogers Ryan | Specialist/Technologist | 2335 N Washington Ave, Cookeville, TN 38501-4889 | 2006-04-04 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38506 |
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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.