MR. AARON MANGUM (NPI# 1407250483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407250483 |
| Entity Type | Individual |
| Full Name | MR. AARON MANGUM |
| Credential | MAT, ATC |
| Practice Address |
2850 Jericho Road Lagrange KY 40031 |
| Mailing Address |
2850 Jericho Rd La Grange KY 40031-8215 |
| Practice Telephone | 5026488483 |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| 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 |
|---|---|---|---|---|
| 1356577852 | Aaron Scot Mangum | Dentist | 2227 Worley Dr, Alexandria, LA 71301-3631 | 2009-06-10 |
| Street Address |
2850 JERICHO ROAD |
| City | LAGRANGE |
| State | KY |
| Zip Code | 40031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723089 | Nancee L Berling | Registered Nurse | 1914 Miller Ln, La Grange, KY 40031 | 2018-06-06 |
| 1134643000 | Zachary Byrne | Dentist | 3108 S. Hwy 53, Lagrange, KY 40031 | 2017-08-01 |
| 1609399971 | Walgreen Co | Pharmacy | 408 Oldham Plaza, La Grange, KY 40031 | 2017-07-19 |
| 1447790886 | Carolyn Marie Burton | Speech-Language Pathologist | 4603 Timber Walk Ct., Lagrange, KY 40031 | 2017-03-05 |
| 1699145466 | Janet Frager | Nurse Practitioner | 1023 New Moody Ln Ste 101, La Grange, KY 40031 | 2015-10-05 |
| 1730559188 | Amanda Lynn Drawbaugh | Physical Therapist | Ascb Therapy, 4603 Timber Walk Ct., Lagrange, KY 40031 | 2015-09-29 |
| 1073944500 | Tamara Thomas | Case Manager/Care Coordinator | 4121 Spencer Ct, Lagrange, KY 40031 | 2013-12-10 |
| 1669643854 | Alisa Marie Skinner | Physical Therapist | 618 Kentucky Ave, Lagrange, KY 40031 | 2008-03-17 |
| 1245410711 | Jennifer Lee Thomas | Nurse Practitioner | 1015 New Moody Lane, Lagrange, KY 40031 | 2007-11-13 |
| 1073706651 | Ryan J Smith | Emergency Medicine | 1025 New Moody Lane, Lagrange, KY 40031 | 2007-08-27 |
| Find all providers in zip 40031 | ||||
| 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 |
|---|---|---|---|---|
| 1871035949 | Sharell Monea Lewis | Specialist/Technologist | 516 N Greenwood St, Lagrange, GA 30240-2204 | 2016-11-07 |
| 1982098752 | Louis Bustos | Specialist/Technologist | 1105 E 250 N, Lagrange, IN 46761-9353 | 2015-03-19 |
| 1003357625 | Margaret Helen Peterson | Specialist/Technologist | 601 Broad St, Lagrange, GA 30240-2955 | 2017-03-15 |
| 1215345673 | Kelly Mooney | Specialist/Technologist | 104 Waterford Cir, Lagrange, GA 30240-7565 | 2014-07-30 |
| 1528295805 | Christy Deanne Brown | Specialist/Technologist | 601 Broad St, Lagrange, GA 30240-2955 | 2009-06-15 |
| 1891819199 | Kelly Jean Dike | Specialist/Technologist | 1025 New Moody Ln, Lagrange, KY 40031-9154 | 2007-03-19 |
| 1992739387 | Rob Antonio Dicks | Specialist/Technologist | 601 Broad St, Lagrange, GA 30240-2955 | 2006-07-10 |
| 1285660746 | Eva Marie Beaulieu | Specialist/Technologist | 601 Broad St, Lagrange, GA 30240-2955 | 2006-06-24 |
| 1396703831 | David Sellers | Specialist/Technologist | 1805 Vernon Rd, Suite A, Lagrange, GA 30240-4041 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655372 | Kaitlin Niemiec | Specialist/Technologist | 1150 Danville Rd, Harrodsburg, KY 40330-9625 | 2020-10-05 |
| 1215543814 | Taylor Hall | Specialist/Technologist | 2424 Zion Rd, Henderson, KY 42420-4713 | 2020-09-18 |
| 1306457577 | Katherine Lynn Helly | Specialist/Technologist | 108 Crawford Dr, Georgetown, KY 40324 | 2020-08-12 |
| 1679184139 | Kaley Elizabeth Evans | Specialist/Technologist | 17617 Curry Branch Rd, Louisville, KY 40245-7447 | 2020-08-10 |
| 1982214433 | Brookelynn Thomason | Specialist/Technologist | 497 Angliana Ave, Lexington, KY 40508-3541 | 2020-08-08 |
| 1700496395 | Angela Huston | Specialist/Technologist | 17 Wesley Dr, Wilder, KY 41076-1472 | 2020-08-07 |
| 1942810494 | Emalee Alyce Johnson | Specialist/Technologist | 4485 N Us Highway 25, East Bernstadt, KY 40729-6538 | 2020-08-07 |
| 1093325193 | Phillip Gribble | Specialist/Technologist | 210 Charles Wethington Building 900 South Limestone, Lexington, KY 40536-0200 | 2020-08-04 |
| 1083231310 | Lindsay Perry | Specialist/Technologist | 129 Wellesly Ave, Georgetown, KY 40324-8091 | 2020-07-02 |
| 1275150088 | Kristen Pollock | Specialist/Technologist | 1130 W Chestnut St Apt 1310, Louisville, KY 40203-2047 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
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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.