KORENE D MAYO (NPI# 1538359815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538359815 |
| Entity Type | Individual |
| Full Name | KORENE D MAYO |
| Credential | ATC, LAT |
| Practice Address |
1188 University Dr Boise ID 83706-3009 |
| Practice Telephone | 2083368250 |
| Practice Fax Number | 2083459514 |
| Mailing Telephone | 2083368250 |
| Mailing Fax Number | 2083459514 |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A-025 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | STATE OF IDAHO | AT-025 | 01 |
| Street Address |
1188 UNIVERSITY DR |
| City | BOISE |
| State | ID |
| Zip Code | 83706-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418903 | George A. Wade | Orthopaedic Surgery | 1188 University Dr, Boise, ID 83706-3009 | 2005-06-24 |
| 1154356624 | Idaho Sports Medicine Institute, Pa | Neuromusculoskeletal Medicine, Sports Medicine | 1188 University Dr, Boise, ID 83706-3009 | 2006-07-12 |
| 1184699787 | Elizabeth Greenway Schoenfeld | Physical Therapist | 1188 University Dr, Boise, ID 83706-3009 | 2006-02-17 |
| 1609872241 | Kristin K Hulquist | Physical Therapist | 1188 University Dr, Boise, ID 83706 | 2005-06-27 |
| 1639175276 | Bradford R. Page | Physical Therapist | 1188 University Dr, Boise, ID 83706 | 2005-06-27 |
| 1386640928 | Linda Hammann | Physical Therapist | 1188 University Dr, Boise, ID 83706-3009 | 2005-06-27 |
| 1245236983 | Jennifer Rawlings Miller | Orthopaedic Surgery | 1188 University Dr, Boise, ID 83706 | 2005-06-27 |
| 1043216823 | Scot B Scheffel | Family Medicine | 1188 University Dr, Boise, ID 83706 | 2005-06-24 |
| 1033115803 | Kirk J Lewis | Orthopaedic Surgery | 1188 University Dr, Boise, ID 83706 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| 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 |
|---|---|---|---|---|
| 1528680568 | David Book | Specialist/Technologist | 1707 N 26th St, Boise, ID 83702-0112 | 2020-05-13 |
| 1790304889 | Jared Neal | Specialist/Technologist | 12118 W Hinsdale Ct, Boise, ID 83713-4771 | 2020-04-09 |
| 1144877275 | Thisbe Cosette Sahwell | Specialist/Technologist | 1614 S Loggers Pond Pl Apt 23, Boise, ID 83706-7501 | 2019-08-22 |
| 1780243469 | Taylor Christine Grubbs | Specialist/Technologist | 14242 W Elmsprings St, Boise, ID 83713-1285 | 2019-06-06 |
| 1255999421 | Logan Rice | Specialist/Technologist | 4765 N Wildrye Dr, Boise, ID 83703-3815 | 2019-06-03 |
| 1124684758 | Mallory Sue Barber | Specialist/Technologist | 12598 W Medalist Dr, Boise, ID 83709-6500 | 2019-05-20 |
| 1750859542 | Andrew Jay Hammerquist | Specialist/Technologist | 4884 S Whitmore Way, Boise, ID 83709-3465 | 2018-11-09 |
| 1679053789 | David Redinger | Specialist/Technologist | 3409 N Whistler Ln Apt 201, Boise, ID 83703-6298 | 2018-08-17 |
| 1952892168 | Jessica Kerns | Specialist/Technologist | 6001 W Cassia St, Boise, ID 83709-2199 | 2018-05-23 |
| 1326577610 | Koreen Boydstun | Specialist/Technologist | 3301 Sweetwater Dr, Boise, ID 83716 | 2017-06-08 |
| Find all providers in BOISE | ||||
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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.