MS. KALYN WILDER (NPI# 1467069344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467069344 |
| Entity Type | Individual |
| Full Name | MS. KALYN WILDER |
| Practice Address |
402 E College St Bridgewater VA 22812-1511 |
| Practice Telephone | 5408288000 |
| Mailing Telephone | 5408288000 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| 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 |
| Street Address |
402 E COLLEGE ST |
| City | BRIDGEWATER |
| State | VA |
| Zip Code | 22812-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575404 | Rodney Terence Scott Jr. | Specialist/Technologist | 402 E College St, Bridgewater, VA 22812-1511 | 2020-10-13 |
| 1134736804 | Brianna Kierra Blackshear | Specialist/Technologist | 402 E College St, Bridgewater, VA 22812-1599 | 2020-09-28 |
| 1194331819 | Abel Ameyaw | Specialist/Technologist | 402 E College St, Bridgewater, VA 22812-1511 | 2020-09-17 |
| 1366058166 | Michael Stephen Bright | Specialist/Technologist | 402 E College St, Bridgewater, VA 22812-1599 | 2020-09-17 |
| 1881209914 | Erica Brooke Kiessling | Specialist/Technologist | 402 E College St, Bridgewater, VA 22812-1511 | 2020-09-15 |
| 1891313896 | Leah Washington | Specialist/Technologist | 402 E College St, Bridgewater, VA 22812-1511 | 2020-07-07 |
| 1750932513 | Marla K O'bryan | Student in an Organized Health Care Education/Training Program | 402 E College St, Bridgewater, VA 22812-1599 | 2019-09-24 |
| 1750930327 | Paul Russell Brown II | Student in an Organized Health Care Education/Training Program | 402 E College St, Bridgewater, VA 22812-1511 | 2019-09-06 |
| 1316595432 | Christopher Moore | Student in an Organized Health Care Education/Training Program | 402 E College St, Bridgewater, VA 22812-1511 | 2019-09-02 |
| 1871141994 | Deondre M Johnson | Student in an Organized Health Care Education/Training Program | 402 E College St, Bridgewater, VA 22812-1511 | 2019-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637242 | Hastings Healthcare, LLC | General Practice | Hastings Medical Clinic of Bridgewater, 110 North Main Street Suite A, Bridgewater, VA 22812 | 2020-10-21 |
| 1316469687 | Jasmine Taylor Pinder | Specialist/Technologist | 402 East College Street, Bridgewater, VA 22812 | 2017-07-08 |
| 1548643547 | Gail E. Reese | Behavioral Analyst | 5630 Glade View Drive, Bridgewater, VA 22812 | 2015-07-08 |
| 1992915557 | Richard M. Smith | Dentist | 100 Parkside Drive, Bridgewater, VA 22812 | 2007-05-23 |
| 1003914144 | Donald Richard Bell | Chiropractor | 102 E College St, Bridgewater, VA 22812 | 2006-09-20 |
| 1871534933 | Jonathan David Moss | Family Medicine | 100 Health Center Dr, Bridgewater, VA 22812 | 2006-06-09 |
| 1225112402 | Bridgewater Chiropractic Center | Chiropractor | 102 E College St, Bridgewater, VA 22812 | 2006-10-25 |
| 1669847471 | Barbara Dotson-brooner | Student in an Organized Health Care Education/Training Program | 109 Nover Dr, Bridgewater, VA 22812-1012 | 2015-12-04 |
| 1578074563 | Pamela R Gipson | Nurse Practitioner | 117 College View Drive, Bridgewater, VA 22812-1114 | 2017-10-17 |
| 1174500094 | Rufus C Huffman | Family Medicine | 200 High St, Bridgewater, VA 22812-1114 | 2005-12-30 |
| Find all providers in zip 22812 | ||||
| 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 |
|---|---|---|---|---|
| 1962000422 | Allison Damigella | Specialist/Technologist | 20 Cobblestone Ln, Bridgewater, MA 02324-2277 | 2020-10-15 |
| 1306474978 | Sungwan Kim | Specialist/Technologist | 32 Leonard St, Bridgewater, MA 02324-2521 | 2020-03-30 |
| 1407402050 | Meghan Durette Harris | Specialist/Technologist | 107 Sunbright Dr, Bridgewater, VA 22812-9579 | 2019-08-09 |
| 1982192837 | Joseph T Cockrell | Specialist/Technologist | 402 E College St # 310, Bridgewater, VA 22812-1599 | 2018-04-26 |
| 1588168595 | Jake Rezendes | Specialist/Technologist | 10 Hopkins Dr, Bridgewater, MA 02324-3454 | 2018-03-23 |
| 1407360258 | Peter Smith | Specialist/Technologist | 415 Center St, Bridgewater, MA 02324-1309 | 2017-11-30 |
| 1770008526 | Daniel Ryan Brown | Specialist/Technologist | 402 E College St # 570, Bridgewater, VA 22812-1511 | 2017-08-13 |
| 1003331216 | Elizabeth Mason Washington | Specialist/Technologist | 402 E College St # 750, Bridgewater, VA 22812-1511 | 2017-08-08 |
| 1609391044 | Jeremy Glenn Bender | Specialist/Technologist | 402 E College St # 208, Bridgewater, VA 22812-1511 | 2017-08-07 |
| 1316469687 | Jasmine Taylor Pinder | Specialist/Technologist | 402 East College Street, Bridgewater, VA 22812 | 2017-07-08 |
| Find all providers in BRIDGEWATER | ||||
| City | BRIDGEWATER |
| Zip Code | 22812 |
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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.