KIMBERLY TEVIS (NPI# 1528446200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528446200 |
| Entity Type | Individual |
| Full Name | KIMBERLY TEVIS |
| Credential | ATC |
| Practice Address |
16515 Meridian E Suite 202b Puyallup WA 98375-6251 |
| Practice Telephone | 2538405511 |
| Practice Fax Number | 2538400835 |
| Mailing Telephone | 2538405511 |
| Mailing Fax Number | 2538400835 |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A1 60134292 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
16515 MERIDIAN E SUITE 202B |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98375-6251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396738258 | Kristin K O'brien | Massage Therapist | 16515 Meridian E, Ste 103b, Puyallup, WA 98375-6251 | 2005-08-25 |
| 1033757620 | Jamie M Nelson | Massage Therapist | 16515 Meridian E, Puyallup, WA 98375-6251 | 2019-12-15 |
| 1255788469 | Erica Gold | Physical Therapist | 16515 Meridian E, Ste 202b, Puyallup, WA 98375-6251 | 2016-05-17 |
| 1740636679 | Anahi M Hurtado | Mechanotherapist | 16515 Meridian E, 103b, Puyallup, WA 98375-6251 | 2016-05-10 |
| 1699143057 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 16515 Meridian E, Suite 203b, Puyallup, WA 98375-6251 | 2015-09-02 |
| 1033585260 | Michael Manning | Physical Therapist | 16515 Meridian E, Ste 202b, Puyallup, WA 98375-6251 | 2015-08-11 |
| 1104208040 | Ryan Summers | Physical Therapist | 16515 Meridian E, Suite 202b, Puyallup, WA 98375-6251 | 2015-06-27 |
| 1669878336 | Phillip Daniel Scalise | Physical Therapist | 16515 Meridian E, Ste 202b, Puyallup, WA 98375-6251 | 2014-11-07 |
| 1205244258 | Danielle Nicole Dillion | Massage Therapist | 16515 Meridian E, Suite 103b, Puyallup, WA 98375-6251 | 2014-07-22 |
| 1245587518 | Elizabeth Reagh Rogers | Physical Therapist | 16515 Meridian E, Ste 202b, Puyallup, WA 98375-6251 | 2012-08-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673817 | Cheryl Dann | Registered Nurse | 7224 Pacific Highway E, Milton, WA 98375 | 2019-11-07 |
| 1326554601 | Jasmanpreet Kaur Sidhu | Nurse's Aide | 17003 83rd Ave Cte, Puyallup, WA 98375 | 2017-12-21 |
| 1295257137 | Rafael Martin Morones IIi | Registered Nurse | 17802 87th Ave E, Puyallup, WA 98375 | 2017-07-12 |
| 1467990556 | Tessa D Parker | Massage Therapist | 17528 Meridian E Suite 207, Puyallup, WA 98375 | 2017-02-08 |
| 1144674326 | June Park | Social Worker | 9414 185th Street Ct E, Puyallup, WA 98375 | 2016-04-14 |
| 1417384348 | Washington Dental Corporation, PC | Dentist | 16810 Meridian East Suite J107, Puyallup, WA 98375 | 2013-10-10 |
| 1861825663 | L&t Chinese Medicine LLC | Acupuncturist | 16515 Meridian E., Ste. 200b, Puyallup, WA 98375 | 2013-08-15 |
| 1508110081 | Jennifer Gillings | Speech-Language Pathologist | 17418 74th Ave E, Puyallup, WA 98375 | 2012-11-05 |
| 1275887267 | Andrew Nelson Smith | Pharmacist | 14308 Meridian Ave E., Puyallup, WA 98375 | 2012-10-30 |
| 1538440714 | Zorawar Singh | Dentist | 16810 Meridian E Suite J107, Puyallup, CA 98375 | 2011-09-01 |
| Find all providers in zip 98375 | ||||
| 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 |
|---|---|---|---|---|
| 1487140257 | Bradley Dupea | Specialist/Technologist | 5702 44th St Se, Puyallup, WA 98371 | 2018-07-05 |
| 1316481450 | Jasmin Ayala | Specialist/Technologist | 528 13th St Se, Puyallup, WA 98372-3344 | 2016-12-08 |
| 1679961197 | Maggie March | Specialist/Technologist | 18001 Canyon Rd E, Puyallup, WA 98375-2301 | 2015-01-06 |
| 1619374790 | Rielly L Byrd | Specialist/Technologist | 9515 60th Avenue Ct E, Puyallup, WA 98371-6158 | 2014-12-04 |
| 1689089633 | Samuel O'leary | Specialist/Technologist | 6216 119th Ave E, Puyallup, WA 98372-2825 | 2014-06-29 |
| 1023135910 | Holly Elizabeth Knoll | Specialist/Technologist | 9925 184th St E, Puyallup, WA 98375-8100 | 2007-03-23 |
| 1265434732 | Laurie B Bowler | Specialist/Technologist | 5403 Milwaukee Ave E, Suite B, Puyallup, WA 98372-2774 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990329 | Tina Daniels | Specialist/Technologist | 5104 W Nob Hill Blvd Apt 8, Yakima, WA 98908-5814 | 2020-10-25 |
| 1902405079 | Sara Danielle Holey | Specialist/Technologist | 24048 Se 111th St, Issaquah, WA 98027-8320 | 2020-10-20 |
| 1265049902 | Erin L Rose | Specialist/Technologist | 510 Nw Larry St, Pullman, WA 99163-3584 | 2020-09-27 |
| 1790392629 | William Bratton | Specialist/Technologist | 26222 119th Dr Se, Kent, WA 98030-7882 | 2020-09-24 |
| 1790392611 | Carli Grace Robins | Specialist/Technologist | 3654 Nw Cascade Ave, East Wenatchee, WA 98802-9570 | 2020-09-24 |
| 1164039079 | Jalyn Rutledge | Specialist/Technologist | Bohler Athletic Complex Cougar Way - Wsu, Pullman, WA 99164-0001 | 2020-09-24 |
| 1356957054 | Alex Vincent Pham | Specialist/Technologist | 3523 Se 176th Ave, Vancouver, WA 98683-3591 | 2020-09-17 |
| 1063030583 | Elizabeth Kakos | Specialist/Technologist | 528 Pontius Ave N Unit 431, Seattle, WA 98109-5821 | 2020-07-10 |
| 1396369708 | Kristin Marie Mikolajewski | Specialist/Technologist | 116 247th Ave Se, Sammamish, WA 98074-3444 | 2020-06-01 |
| 1437773033 | Mckaleb Pool | Specialist/Technologist | 10777 Grafton Pl Nw, Silverdale, WA 98383-8941 | 2020-05-31 |
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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.