TODD KILLINGSWORTH (NPI# 1407072002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407072002 |
| Entity Type | Individual |
| Full Name | TODD KILLINGSWORTH |
| Credential | AT |
| Practice Address |
4300 W Main St Suite 14 Dothan AL 36305-1054 |
| Mailing Address |
Po Box 729 Dothan AL 36302-0729 |
| Practice Telephone | 3347932663 |
| Practice Fax Number | 3348362247 |
| Mailing Telephone | 3347932663 |
| Mailing Fax Number | 3348362247 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
354 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4300 W MAIN ST SUITE 14 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36305-1054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396740577 | Steven M. Fendley | Surgery | 4300 W Main St, Ste 24, Dothan, AL 36305-1054 | 2005-06-15 |
| 1649635434 | Leigh Phillips | Registered Nurse | 4300 W Main St, Suite 21, Dothan, AL 36305-1054 | 2015-12-21 |
| 1336514389 | Tri-state Urology, P.C. | Urology | 4300 W Main St, Suite 102, Dothan, AL 36305-1054 | 2015-12-02 |
| 1861870131 | Martin Plastic and Reconstructive Surgery, PC | Plastic Surgery | 4300 W Main St, Suite 102, Dothan, AL 36305-1054 | 2015-05-07 |
| 1811387053 | Eric M Warg | Registered Nurse | 4300 W Main St, 24, Dothan, AL 36305-1054 | 2015-01-26 |
| 1720426133 | Krystal Sims Fowler | Nurse Practitioner | 4300 W Main St, Suite 31, Dothan, AL 36305-1090 | 2013-06-07 |
| 1932497393 | Dothan Surgical Services, LLC | Surgery | 4300 W Main St, Dothan, AL 36305-1054 | 2011-07-19 |
| 1558657890 | Wiregrass Clinic LLC | Anesthesiology | 4300 W Main St, Suite 21, Dothan, AL 36305-1054 | 2011-06-24 |
| 1992096440 | Wiregrass Neurology, PC | Psychiatry & Neurology | 4300 W Main St, Suite 102, Dothan, AL 36305-1092 | 2011-05-02 |
| 1134426588 | Norma Faye Mcknight | Nurse Practitioner | 4300 W Main St, Suite 102, Dothan, AL 36305-1054 | 2011-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
| 1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
| 1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
| 1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
| 1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
| 1649555483 | Ashley Dawn Morrow | Pharmacist | 2940 West Main Street, Dothan, AL 36305 | 2011-10-12 |
| 1740599273 | Aline M Mays-easley | Counselor | 309 Ameris Ave, Dothan, AL 36305 | 2010-10-01 |
| 1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
| 1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
| 1770705667 | Michala Long | Pharmacist | 3850 West Main St, Dothan, AL 36305 | 2007-05-02 |
| Find all providers in zip 36305 | ||||
| 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 |
|---|---|---|---|---|
| 1972115616 | Hannah Grace Foster | Specialist/Technologist | 4031 Wiregrass Dr, Dothan, AL 36301-9500 | 2020-08-22 |
| 1013552314 | Whitnye Robin Rose | Specialist/Technologist | 103 Fernleaf Way, Dothan, AL 36305-5941 | 2019-11-10 |
| 1073068771 | Katherine Anne Drake | Specialist/Technologist | 900 Hayes Dr, Dothan, AL 36303-2294 | 2016-08-23 |
| 1801288188 | Genesis Fitness, LLC | Specialist/Technologist | 2701 Ross Clark Cir, Dothan, AL 36301-3203 | 2015-02-24 |
| 1598792103 | Darrell Marshall Smith | Specialist/Technologist | 3806 Quail Creek Dr, Dothan, AL 36303-1466 | 2006-06-27 |
| 1356793632 | Hannah Whigham | Specialist/Technologist | 345 Healthwest Dr, Dothan, AL 36303-2053 | 2016-07-11 |
| 1689026262 | Tatum R Fowler | Specialist/Technologist | 345 Healthwest Dr, Dothan, AL 36303-2053 | 2016-07-07 |
| 1902239353 | Meredith M Buechner | Specialist/Technologist | 345 Healthwest Dr, Dothan, AL 36303-2053 | 2013-08-20 |
| 1629317243 | Melea A Ross | Specialist/Technologist | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2013-02-01 |
| 1043558455 | Leigh A Money | Specialist/Technologist | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2013-01-18 |
| Find all providers in DOTHAN | ||||
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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.