WILLIAM JACKSON REDMOND (NPI# 1568940880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568940880 |
| Entity Type | Individual |
| Full Name | WILLIAM JACKSON REDMOND |
| Practice Address |
2525 Glenn Hendren Dr Liberty MO 64068-9600 |
| Mailing Address |
10611 N Hedges Ave Kansas City MO 64157-7961 |
| Practice Telephone | 8167817200 |
| Mailing Telephone | 8168046212 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2000030870 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780726356 | William John Redmond | Dentist | 30111 Niguel Rd Ste G, Laguna Niguel, CA 92677-2260 | 2007-02-12 |
| 1306136072 | William Redmond | Physical Therapy Assistant | 917 Beville Rd, Suite G, South Daytona, FL 32119-1712 | 2011-04-14 |
| 1366655714 | William Ronald Redmond | Dentist | 700 5th Ave, Suite 1616, Seattle, WA 98104-5058 | 2007-05-08 |
| 1508820192 | William Mack Redmond | Nurse Anesthetist, Certified Registered | 4864 Jackson St, Monroe, LA 71202-6400 | 2006-04-12 |
| Street Address |
2525 GLENN HENDREN DR |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068-9600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548265945 | Tyron A Townsend | Anesthesiologist Assistant | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2005-06-14 |
| 1841811759 | Sharla Sue Leon | Speech-Language Pathologist | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2020-05-01 |
| 1437793924 | Jordan Colyer | Registered Nurse | 2525 Glenn Hendren Dr, Liberty, MO 64068-9600 | 2019-10-29 |
| 1922667054 | Abdulrahman B Derbas | Anesthesiologist Assistant | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2019-06-12 |
| 1336646736 | Liberty Hospital Emergency Medicine Physicians, LLC | Emergency Medicine | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2018-04-11 |
| 1235673872 | Deer Valley Emergency Physicians LLC | Physician Assistant | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2016-12-16 |
| 1760925002 | Kelsey Koehler | Anesthesiologist Assistant | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2016-11-18 |
| 1679926455 | Michael Scott Beeler | Anesthesiologist Assistant | 2525 Glenn Hendren Dr, Anesthetic Dept, Liberty, MO 64068-9625 | 2016-07-18 |
| 1013369727 | Laura M Lee | Nurse Anesthetist, Certified Registered | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2016-07-06 |
| 1457700221 | Meghan Marie Batchelor | Anesthesiologist Assistant | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2016-06-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
| 1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
| 1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
| 1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
| 1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
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| 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 |
|---|---|---|---|---|
| 1073146098 | Kaylee Quattlebaum | Specialist/Technologist | 327 S Ridge Ave, Liberty, MO 64068-2151 | 2020-02-18 |
| 1457859977 | Nicole Marie Griffin | Specialist/Technologist | 900 Glendale Rd, Liberty, MO 64068-2822 | 2018-01-30 |
| 1184166464 | Stephanie Heisler | Specialist/Technologist | 426 Revonah Hill Rd, Liberty, NY 12754-3319 | 2016-11-17 |
| 1518311802 | Jerad Bruggeman | Specialist/Technologist | 500 College Hl, Liberty, MO 64068-1843 | 2016-04-22 |
| 1386259117 | Jordan Rachelle Vanness | Specialist/Technologist | 398 Blue Jay Dr, Liberty, MO 64068-1977 | 2020-09-09 |
| 1861991366 | Danielle Meyer | Specialist/Technologist | 500 College Hl, Liberty, MO 64068-1843 | 2018-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051516 | Kangjun Lee | Specialist/Technologist | 901 S. National Ave., Springfield, MO 65897 | 2020-10-20 |
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1548868334 | Alexander Kenneth Hollingsworth | Specialist/Technologist | 1904 Franklin Ave, Lexington, MO 64067-1705 | 2020-10-13 |
| 1164020335 | Taylor Fumagalli | Specialist/Technologist | 1421 Woodstone Dr, Saint Charles, MO 63304-6866 | 2020-10-11 |
| 1265039192 | Carley M Swabby | Specialist/Technologist | 652 Bismark Ave, Saint Louis, MO 63119-1528 | 2020-10-05 |
| 1275144891 | Tiffany Hallacy | Specialist/Technologist | 5014 Walnut St Apt D, Kansas City, MO 64112-2641 | 2020-08-17 |
| 1306464011 | Dustin Flynn | Specialist/Technologist | 541 Huntley Heights Dr, Ballwin, MO 63021-5884 | 2020-07-09 |
| 1851916878 | Olivia Marie Bogolin | Specialist/Technologist | 111 Timber Trace Xing, Wentzville, MO 63385-2124 | 2020-06-15 |
| 1417571464 | Jessica Burgason | Specialist/Technologist | 24173 State Highway F, Kirksville, MO 63501-8009 | 2020-06-05 |
| 1225651664 | Ashley Marie Garlock | Specialist/Technologist | 1308 S Halliburton St, Kirksville, MO 63501-4456 | 2020-05-20 |
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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.