DR. STEPHANIE ANN JEVAS (NPI# 1508074501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508074501 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE ANN JEVAS |
| Credential | PHD, ATC, LAT |
| Practice Address |
3005 Stadium Dr Department of Kinesiology, Suite 172 Fort Worth TX 76129-0001 |
| Mailing Address |
Po Box 297730 Fort Worth TX 76129-0001 |
| Practice Telephone | 8172575733 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2014-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT1552 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3005 STADIUM DR DEPARTMENT OF KINESIOLOGY, SUITE 172 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76129-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952425514 | Kelley Henderson | Specialist/Technologist | 3005 Stadium Dr, Room 172f, Fort Worth, TX 76129-0001 | 2007-03-19 |
| 1700340676 | Hannah Thornhill | Specialist/Technologist | 3005 Stadium Dr, Fort Worth, TX 76109 | 2019-01-24 |
| 1023587482 | Jessica Uselding | Specialist/Technologist | 3005 Stadium Dr, Fort Worth, TX 76109 | 2018-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497287874 | Myranda Stauch | Specialist/Technologist | 2901 Stadium Drive, Tcu Box 290315, Fort Worth, TX 76129 | 2017-04-03 |
| 1942227525 | Benjamin Robert Timson | Specialist/Technologist | Texas Christian University 2800 University Drive, Fort Worth, TX 76129 | 2006-07-17 |
| 1285135608 | Michael Joseph Monteleone | Specialist/Technologist | 2800 S University Dr, Fort Worth, TX 76129 | 2018-02-21 |
| 1215468756 | Jordan Do Nguyen | Specialist/Technologist | 2800 S University Dr, Fort Worth, TX 76129 | 2017-03-26 |
| 1669093266 | Frank Baker | Specialist/Technologist | 3500 Bellaire Drive N, Fort Worth, TX 76129-0001 | 2020-05-05 |
| 1699312439 | Lacey Jane Arnett | Student in an Organized Health Care Education/Training Program | 3305 West Cantey St, Fort Worth, TX 76129-0001 | 2019-11-27 |
| 1083108104 | Estephanie Rusnak | Specialist/Technologist | 3500 Stadium Dr, Fort Worth, TX 76129-0001 | 2018-06-21 |
| 1205335080 | Bronson Kahikinaakala Sagon | Specialist/Technologist | Texas Christian University Tcu Box 297600, Fort Worth, TX 76129-0001 | 2018-02-07 |
| 1104269109 | Michael Baum | Specialist/Technologist | Tcu Sports Medicine, Tcu Box 297600, Fort Worth, TX 76129-0001 | 2013-04-10 |
| 1720102403 | Andrew Warren Klock | Specialist/Technologist | 3500 Bellaire Dr, Walsh Complex Athletic Training Room, Fort Worth, TX 76129-0001 | 2007-03-19 |
| Find all providers in zip 76129 | ||||
| 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 |
|---|---|---|---|---|
| 1386258341 | Benjamin T Stefka | Specialist/Technologist | 9936 Gessner Dr, Fort Worth, TX 76244-5085 | 2020-09-06 |
| 1669093266 | Frank Baker | Specialist/Technologist | 3500 Bellaire Drive N, Fort Worth, TX 76129-0001 | 2020-05-05 |
| 1003442195 | Kaitlyn Paige Harrison | Specialist/Technologist | 3608 Clary Ave, Fort Worth, TX 76111-4818 | 2020-03-20 |
| 1770118135 | Baylie Benge | Specialist/Technologist | 4137 Tupelo Trl, Fort Worth, TX 76244-6930 | 2020-03-05 |
| 1497389118 | Marah Elizabeth Levy | Specialist/Technologist | 4000 Hulen Pl Apt 314, Fort Worth, TX 76107-7376 | 2020-03-03 |
| 1699309625 | Nancy Alejandra Paredes | Specialist/Technologist | 707 Meadow Park Dr, Fort Worth, TX 76108-2807 | 2020-02-28 |
| 1770115099 | Ian Underwood | Specialist/Technologist | 5204 Emmeryville Ln, Fort Worth, TX 76244-6200 | 2020-02-05 |
| 1427697671 | Victor Joseph West | Specialist/Technologist | 9932 Pyrite Dr, Fort Worth, TX 76131-4341 | 2020-01-04 |
| 1285281105 | Kaylee Baker | Specialist/Technologist | 817 Wesleyan St # 314, Fort Worth, TX 76105-1257 | 2019-08-26 |
| 1194389551 | Katherine Jordan | Specialist/Technologist | 4909 El Campo Ave Apt D, Fort Worth, TX 76107-4910 | 2019-04-30 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76129 |
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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.