MRS. KOSIE L SHEPHERD-PORADA (NPI# 1477796456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477796456 |
| Entity Type | Individual |
| Full Name | MRS. KOSIE L SHEPHERD-PORADA |
| Credential | MS, ATC |
| Practice Address |
927 Menoher Blvd Johnstown PA 15905-2834 |
| Practice Telephone | 8142556814 |
| Practice Fax Number | 8142557963 |
| Mailing Telephone | 8142556814 |
| Mailing Fax Number | 8142557963 |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT003694 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
927 MENOHER BLVD |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15905-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295818714 | Frank Thomas Zock Jr. | Physical Therapist | 927 Menoher Blvd, Johnstown, PA 15905 | 2006-10-21 |
| 1760625743 | Mariann Mccowan | Specialist/Technologist | 927 Menoher Blvd, Johnstown, PA 15905-2834 | 2009-04-07 |
| 1225103278 | Christopher John Mamula | Physical Therapist | 927 Menoher Blvd, Johnstown, PA 15905 | 2006-11-22 |
| 1427123660 | Western Pennsylvania Sports Medicine & Rehabilitation Center, Inc. | Clinic/Center | 927 Menoher Blvd, Johnstown, PA 15905-2834 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528552445 | Kristina Marie Sloan | Registered Nurse | Womens Center At Memorial Medical Center, 1111 Franklin St, Suite 210, Johnstown, PA 15905 | 2018-06-15 |
| 1376921403 | Joel Edward Messom | Obstetrics & Gynecology | 1111 Franklin St Ste 300, Johnstown, PA 15905 | 2015-05-08 |
| 1497091797 | Jessica Pacsai | Occupational Therapist | 807 Goucher Street, Johnstown, PA 15905 | 2012-12-14 |
| 1225396351 | Lusine Mesropyan | Surgery | 1086 Franklin Street Good Samaritan Building, Johnstown, PA 15905 | 2012-04-26 |
| 1467766931 | Kimberly Buchanan | Speech-Language Pathologist | 787 Goucher Street, Johnstown, PA 15905 | 2010-07-27 |
| 1205149846 | Lighthouse Medical, LLC | Clinic/Center | 507 Tire Hill Road, Suite 100, Johnstown, PA 15905 | 2010-07-26 |
| 1932357878 | Michael Cameron Sleet | Surgery | Dlp Conemaugh Memorial Hospital, 1086 Franklin Street, Johnstown, PA 15905 | 2008-09-04 |
| 1255528543 | Assisted Living Concepts Inc | Assisted Living Facility | 500 Cheney Oaks Drive, Johnstown, PA 15905 | 2007-10-01 |
| 1578766648 | Tamera Waggle | Nurse Anesthetist, Certified Registered | 1186 Franklin St., Johnstown, PA 15905 | 2007-06-07 |
| 1821206178 | Blue and Green Medical PC | Internal Medicine | 1743 Goucher Street, Johnstown, PA 15905 | 2007-05-18 |
| Find all providers in zip 15905 | ||||
| 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 |
|---|---|---|---|---|
| 1750849683 | Carissa Anne O'brien | Specialist/Technologist | 3 Frasier Ave, Johnstown, NY 12095-3124 | 2019-03-11 |
| 1770033169 | Kendra Jeanne Mccoy | Specialist/Technologist | 303 S William St, Johnstown, NY 12095-2812 | 2016-10-10 |
| 1376090753 | Elizabeth Chobany | Specialist/Technologist | 689 Messenger St, Johnstown, PA 15902-1709 | 2016-09-02 |
| 1831675784 | Hannah Lynn Reed | Specialist/Technologist | 6066 Johnstown Utica Rd, Johnstown, OH 43031-9408 | 2018-07-13 |
| 1124531629 | Dylan Jon Baxendell | Specialist/Technologist | 450 Schoolhouse Rd, Johnstown, PA 15904-2912 | 2017-11-07 |
| 1013450790 | Elissa Till | Specialist/Technologist | 450 Schoolhouse Rd, Johnstown, PA 15904-2912 | 2016-11-29 |
| 1922498179 | Jason Lonesky | Specialist/Technologist | 2 Celeste Dr, Johnstown, PA 15905-2832 | 2015-01-27 |
| 1760625743 | Mariann Mccowan | Specialist/Technologist | 927 Menoher Blvd, Johnstown, PA 15905-2834 | 2009-04-07 |
| 1467654517 | Autumn Lorraine Beyer | Specialist/Technologist | 320 Main St, 2nd Fl, Johnstown, PA 15901-1601 | 2007-06-01 |
| 1619942224 | Lexi M Boswell | Specialist/Technologist | 1253 Scalp Ave, Johnstown, PA 15904-3137 | 2006-02-18 |
| Find all providers in JOHNSTOWN | ||||
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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.