MR. CODY JOSEPH FLETCHER (NPI# 1407473085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407473085 |
| Entity Type | Individual |
| Full Name | MR. CODY JOSEPH FLETCHER |
| Credential | ATC, LAT |
| Practice Address |
158 E Main St Henderson TN 38340-2306 |
| Mailing Address |
80 Timber Ridge Cv Henderson TN 38340-4451 |
| Practice Telephone | 5739993792 |
| Mailing Telephone | 5739993792 |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0000001835 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
158 E MAIN ST |
| City | HENDERSON |
| State | TN |
| Zip Code | 38340-2306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639292121 | Kenneth Rowland Cargile | Family Medicine | 158 E Main St, Fhu Family Clinic, Henderson, TN 38340-2306 | 2007-04-09 |
| 1275640583 | Gayle Marie Mcdonald | Specialist/Technologist | 158 E Main St, Freed-hardeman University, Henderson, TN 38340-2306 | 2006-08-23 |
| 1144254145 | Freed-hardeman University | Local Education Agency (LEA) | 158 E Main St, Henderson, TN 38340-2306 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407487390 | Cornerstone Pharmacy, LLC | Pharmacy | 1330 Us Hwy 45 N Ste D, Henderson, TN 38340 | 2020-01-29 |
| 1184774358 | State of Tennessee | Public Health or Welfare | 301 Quinco Drive, Henderson, TN 38340 | 2007-01-11 |
| 1952381089 | Ronald Allen Hoffmeyer | Physician Assistant | 1132 Industrial Drive, Henderson Health Center, Henderson, TN 38340 | 2006-01-17 |
| 1487636031 | Ronald E Johnson | Dentist | 136 South Washington Ave, Henderson, TN 38340-0096 | 2005-11-18 |
| 1174835664 | Southwest Human Resource Agency | Local Education Agency (LEA) | 1527 White Avenue, Henderson, TN 38340-0264 | 2010-07-13 |
| 1366637969 | Hardeman County Community Health Center | Clinic/Center | 1132 Industrial Dr, Henderson, TN 38340-1310 | 2007-09-07 |
| 1629380639 | Candice Johnson Jones | Family Medicine | 1132 Industrial Dr, Henderson, TN 38340-1310 | 2010-07-07 |
| 1578510269 | Henderson Residential, LLC | Assisted Living Facility | 558 White Ave, Henderson, TN 38340-1504 | 2006-05-28 |
| 1457591117 | Melaro Behavioral Consultants Inc | Clinic/Center | 225 W Sixth St, Henderson, TN 38340-1515 | 2009-02-20 |
| 1386797314 | David Allen Magee | Dentist | 1520 Cherry Creek Cv, Henderson, TN 38340-1578 | 2007-01-21 |
| Find all providers in zip 38340 | ||||
| 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 |
|---|---|---|---|---|
| 1215543814 | Taylor Hall | Specialist/Technologist | 2424 Zion Rd, Henderson, KY 42420-4713 | 2020-09-18 |
| 1245868793 | Carla Flores | Specialist/Technologist | 5880 Boulder Falls St Apt 2099, Henderson, NV 89011-4966 | 2020-03-31 |
| 1467009886 | Morgan Merrill | Specialist/Technologist | 2305 W Horizon Ridge Pkwy Apt 3722, Henderson, NV 89052-5770 | 2019-08-20 |
| 1316446495 | Caitlyn Tranquillo | Specialist/Technologist | 192 Webster Way, Henderson, NV 89074-0622 | 2018-02-05 |
| 1326550369 | Christopher Bryan Perrine | Specialist/Technologist | 970 Hunters Run Dr, Henderson, NV 89002-9693 | 2017-10-31 |
| 1174032049 | Vernice E Ollano | Specialist/Technologist | 3700 Liberty Heights Ave, Henderson, NV 89052-8612 | 2017-09-23 |
| 1568987576 | Chelsea Hanes | Specialist/Technologist | 800 College Dr, Henderson, NV 89002-8489 | 2017-08-10 |
| 1124543590 | Michelle Taylor | Specialist/Technologist | 12909 E 120th Ave, Henderson, CO 80640-9146 | 2017-08-07 |
| 1720517147 | Jackson Thompson | Specialist/Technologist | 296 Cross Creek Rd, Henderson, NC 27537 | 2017-06-08 |
| 1033641444 | Sierra Maison | Specialist/Technologist | 509 Quail Bird Pl, Henderson, NV 89052-2813 | 2017-04-03 |
| Find all providers in HENDERSON | ||||
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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.