KEVAN M CREIGHTON (NPI# 1487973095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487973095 |
| Entity Type | Individual |
| Full Name | KEVAN M CREIGHTON |
| Credential | ATC |
| Practice Address |
7201 120th Ave Kenosha WI 53142-7305 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 2628574400 |
| Mailing Telephone | 6302962223 |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2010-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1125-39 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7201 120TH AVE |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142-7305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982919304 | Julie E Miesfeld | Physical Therapist | 7201 120th Ave, Kenosha, WI 53142-7305 | 2010-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| Find all providers in zip 53142 | ||||
| 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 |
|---|---|---|---|---|
| 1972015758 | Samantha Jane Atkielski | Specialist/Technologist | 6911 53rd St, Kenosha, WI 53144-3772 | 2017-11-01 |
| 1184088742 | David James O'loughlin | Specialist/Technologist | 9436 69th St, Kenosha, WI 53142-8111 | 2016-04-11 |
| 1346637055 | Becka Owens | Specialist/Technologist | 1465 Sheridan Rd, Apt 16, Kenosha, WI 53140-4444 | 2015-04-20 |
| 1871882944 | Katie Lynn Bowers | Specialist/Technologist | 900 Wood Rd, Kenosha, WI 53144-1199 | 2011-03-29 |
| 1639202971 | Joseph J Olszewski | Specialist/Technologist | 4506 79th St, Kenosha, WI 53142-4519 | 2007-03-14 |
| 1265580476 | David Koch | Specialist/Technologist | 3621 59th St, Kenosha, WI 53144-6921 | 2007-01-07 |
| 1295723849 | Laurie Anne Jensen | Specialist/Technologist | 2001 Alford Park Dr, Kenosha, WI 53140-1929 | 2005-10-07 |
| 1730796509 | Zachary Tavs | Specialist/Technologist | 2001 Alford Park Dr, Kenosha, WI 53140-1927 | 2020-09-25 |
| 1376179101 | Dan Ruffner | Specialist/Technologist | 2001 Alford Park Dr, Kenosha, WI 53140-1994 | 2020-03-12 |
| 1699309534 | Hannah Lyn Midlock | Specialist/Technologist | 2001 Alford Park Dr, Kenosha, WI 53140-1994 | 2020-03-01 |
| Find all providers in KENOSHA | ||||
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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.