KENNA MEGAN HODEAUX (NPI# 1407204217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407204217 |
| Entity Type | Individual |
| Full Name | KENNA MEGAN HODEAUX |
| Credential | ATC, LAT |
| Practice Address |
1201 Leroy Pond Drive Sports Medicine Department Fayetteville AR 72701 |
| Mailing Address |
985 W Berry St Apt #4 Fayetteville AR 72701-1875 |
| Practice Telephone | 4795754018 |
| Practice Fax Number | 4795756525 |
| Mailing Telephone | 5209097768 |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
673 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1201 LEROY POND DRIVE SPORTS MEDICINE DEPARTMENT |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588213417 | Biggers Counseling, LLC | Social Worker | 349 S Hill Ave, Fayetteville, AR 72701 | 2019-09-04 |
| 1235603200 | Arkansas Holistic Health Care Chiropractic | Chiropractor | 2618 Mlk Jr Blvd, Fayetteville, AR 72701 | 2019-01-14 |
| 1225520828 | Jacoby Markie Clemons | Specialist/Technologist | 1201 West Leroy Pond Dr, Fayetteville, AR 72701 | 2018-05-31 |
| 1952892390 | Ambur Dryer | Specialist/Technologist | 994 W Mlk Jr. Blvd., Fayetteville, AR 72701 | 2018-05-22 |
| 1851814230 | Blakely Low | Psychologist | 1229 Meadow Street Suite #221, Jones Family Center for Student-athlete Success, Fayetteville, AR 72701 | 2017-07-18 |
| 1518496215 | Van Michael Mcqueen Jr. | Dentist | 640 N Garland Ave # 104, Fayetteville, AR 72701 | 2017-06-06 |
| 1740634435 | Crystal Susan Rofkahr | Psychologist | 26 E Meadow St Ste 3, Fayetteville, AR 72701 | 2016-04-19 |
| 1942663521 | Satoshi IIda | Specialist/Technologist | 1010 S Dunn Ave., Apt 205a, Fayetteville, AR 72701 | 2016-04-01 |
| 1992163901 | Dr Don M Chaney Dds Pa | Dentist | 1826 N. Crossover Road, Suite 2, Fayetteville, AR 72701 | 2016-02-04 |
| 1700251113 | Caitlin Rae Draper | Social Worker | 221 N East Ave Ste 205, Fayetteville, AR 72701 | 2015-12-10 |
| Find all providers in zip 72701 | ||||
| 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 |
|---|---|---|---|---|
| 1124628979 | Casey Brooks | Specialist/Technologist | 1223 Huntsville Hwy, Fayetteville, TN 37334-3617 | 2020-10-30 |
| 1053971622 | Elizabeth Bacon Studdard | Specialist/Technologist | 1671 S Colonnade Dr Apt 203, Fayetteville, AR 72701-7819 | 2019-06-17 |
| 1457818486 | Kyle Cravey | Specialist/Technologist | 7 Sonoma Dr, Fayetteville, TN 37334-4837 | 2019-02-26 |
| 1023574654 | Katie Nichole Buria | Specialist/Technologist | 1247 W Mount Comfort Rd Apt 309, Fayetteville, AR 72703-1597 | 2019-02-19 |
| 1700341682 | Elli Dinkmeyer | Specialist/Technologist | 640 N Wordsworth Ln, Fayetteville, AR 72704-5127 | 2019-02-05 |
| 1225520828 | Jacoby Markie Clemons | Specialist/Technologist | 1201 West Leroy Pond Dr, Fayetteville, AR 72701 | 2018-05-31 |
| 1952892390 | Ambur Dryer | Specialist/Technologist | 994 W Mlk Jr. Blvd., Fayetteville, AR 72701 | 2018-05-22 |
| 1346745791 | Ruth Maria Pacheco | Specialist/Technologist | 2306 Bathgate Ct, Fayetteville, NC 28312-9614 | 2018-03-28 |
| 1306354469 | Nataya Nija Geddie | Specialist/Technologist | 720 Larkspur Dr, Fayetteville, NC 28311-6957 | 2018-01-11 |
| 1326588286 | Shelby Baez | Specialist/Technologist | 717 Brougham Rd, Fayetteville, NC 28311-0305 | 2017-02-26 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72701 |
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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.