JASON JAMESRYAN RUTLAND NIERENHAUSEN (NPI# 1568627412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568627412 |
| Entity Type | Individual |
| Full Name | JASON JAMESRYAN RUTLAND NIERENHAUSEN |
| Credential | ATC |
| Practice Address |
655 Jesse Jewell Pkwy Se Suite C Gainesville GA 30501-3756 |
| Mailing Address |
8823 Production Ln Ooltewah TN 37363-6511 |
| Practice Telephone | 7705399001 |
| Practice Fax Number | 7705399217 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4232383473 |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2008-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT1281 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
655 JESSE JEWELL PKWY SE SUITE C |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356336606 | James Ross Davis | Specialist/Technologist | 655 Jesse Jewell Pkwy Se, Gainesville, Gainesville, GA 30501-3722 | 2005-09-13 |
| 1053899682 | Hugh Colby Cornelson | Nurse Practitioner | 655 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3756 | 2018-08-06 |
| 1396141974 | John Richard Williams I | Physician Assistant | 655 Jesse Jewell Pkwy Se, Suite B, Gainesville, GA 30501 | 2014-11-10 |
| 1033511209 | Jeremiah John Spearman | Physician Assistant | 655 Jesse Jewell Pkwy Se, Ste B, Gainesville, GA 30501-3854 | 2014-09-19 |
| 1801146402 | Karen Jeanette Freeman | Nurse Practitioner | 655 Jesse Jewell Pkwy Se, Ste B, Gainesville, GA 30501 | 2012-09-12 |
| 1417247073 | Christopher David Thomas | Physician Assistant | 655 Jesse Jewell Pkwy Se, Ste B, Gainesville, GA 30501-3756 | 2011-04-15 |
| 1861647836 | Seth Abraham Alhadeff | Physical Therapist | 655 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3756 | 2008-11-18 |
| 1780847699 | Trevor Frederick Ezzell | Nurse Practitioner | 655 Jesse Jewell Pkwy Se, Ste B, Gainesville, GA 30501-3854 | 2008-07-10 |
| 1609049089 | Kelly Everett Hemphill | Physician Assistant | 655 Jesse Jewell Pkwy Se, Ste B, Gainesville, GA 30501-3756 | 2008-04-08 |
| 1740452465 | Diane C Kelly Dmd, PC | Dentist | 655 Jesse Jewell Pkwy Se, Gainesville, GA 30501 | 2008-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| 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 |
|---|---|---|---|---|
| 1124669841 | Kara Honea | Specialist/Technologist | 3834 Walnut Grove Way, Gainesville, GA 30506-7303 | 2019-10-03 |
| 1073163341 | Constance Andrews | Specialist/Technologist | 9435 Ne 77th Ct, Gainesville, FL 32609-1327 | 2019-09-18 |
| 1043860547 | Jonathan Edward Palomar | Specialist/Technologist | Lemerand Drive, Gainesville, FL 32611-0001 | 2019-09-17 |
| 1598310724 | Michael Garrett Mayhugh | Specialist/Technologist | 14535 John Marshall Hwy Ste 104, Gainesville, VA 20155-4024 | 2019-08-05 |
| 1598320160 | Erika Lopez | Specialist/Technologist | 5245 Hewell Rd, Gainesville, GA 30507-7734 | 2019-05-08 |
| 1740745272 | Kayla Dooley | Specialist/Technologist | 114 Washington St Se, Gainesville, GA 30501-3671 | 2019-02-08 |
| 1417421413 | Marissa Evonne Lucas | Specialist/Technologist | 4400 Sw 20th Ave Apt 5201, Gainesville, FL 32607-3902 | 2019-01-14 |
| 1770050536 | Collin Blake Frederick | Specialist/Technologist | 3005 Sardis Rd, Gainesville, GA 30506-2232 | 2018-10-30 |
| 1558844142 | Kennedy Crocker | Specialist/Technologist | 4570 Montclair Cir, Gainesville, GA 30506-5131 | 2018-09-11 |
| 1164909180 | Robert James Creech | Specialist/Technologist | 905 E Highway 82 Ste 130, Gainesville, TX 76240-2269 | 2018-07-23 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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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.