MS. JAN KIILSGAARD (NPI# 1588683940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588683940 |
| Entity Type | Individual |
| Full Name | MS. JAN KIILSGAARD |
| Credential | LAT, ATC |
| Practice Address |
100 E. University Magnolia AR 71754 |
| Mailing Address |
1303 High School Dr Magnolia AR 71753-2670 |
| Practice Telephone | 8702354161 |
| Practice Fax Number | 8702354988 |
| Mailing Telephone | 8702343757 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT297 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
100 E. UNIVERSITY |
| City | MAGNOLIA |
| State | AR |
| Zip Code | 71754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578989893 | Debra Kay Mccurry | Licensed Practical Nurse | 3627 Hwy 57 North, Magnolia, AR 71754 | 2014-03-11 |
| 1992147300 | Laci Lynn Baurer | Specialist/Technologist | 100 East University, Magnolia, AR 71754 | 2013-07-26 |
| 1346316999 | Abilities Unlimited Inc of Magnolia Ar | Clinic/Center | 2000 South Washington, Magnolia, AR 71754 | 2006-11-27 |
| 1922116292 | Willis Tilmon Beene | Dentist | 615 N. Jackson St., Magnolia, AR 71754 | 2006-08-28 |
| 1518350255 | Jeremy Jini Malone | Specialist/Technologist | 100 East University, Magnolia, AR 71754 | 2015-03-05 |
| 1861445082 | Magnolia Regional Medical Center | Clinic/Center | 707 N Washington, Magnolia, AR 71754 | 2006-05-18 |
| 1235242421 | Emmalee Beene Gregory | Dentist | 1018 N Washington St, Magnolia, AR 71754-0432 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215800 | Kellie Lynn Myers | Nurse Practitioner | 26015 Penguin St, Magnolia, TX 77355-6249 | 2020-11-06 |
| 1174122121 | John Mychal Thompson | Nurse Practitioner | 1411 Terrace, Magnolia, AR 71753-2040 | 2020-10-21 |
| 1902405905 | Cambron Counseling | Counselor | 33300 Egypt Ln Ste K900, Magnolia, TX 77354-3338 | 2020-10-21 |
| 1861091019 | Erin Quinn | Occupational Therapy Assistant | 7130 Durango Creek Dr, Magnolia, TX 77354-2781 | 2020-10-20 |
| 1497353411 | Evarose Terese Pepin | Behavior Technician | 31218 W Timberloch Trl, Magnolia, TX 77355-5871 | 2020-10-12 |
| 1063019784 | Charlene Phillips | Psychologist | 702 Woodlytown Rd, Magnolia, DE 19962-1622 | 2020-10-06 |
| 1841897048 | Farida Abdalla | Psychologist | 529 W Birdie Ln, Magnolia, DE 19962-3116 | 2020-10-01 |
| 1740897073 | Darlene Cunningham | Psychologist | 128 Glenn Forest Rd, Magnolia, DE 19962-1702 | 2020-09-30 |
| 1962019992 | Nina Galvan | Psychologist | 19 Edgewater Dr, Magnolia, DE 19962-9706 | 2020-09-24 |
| 1053926550 | Privia Medical Group Gulf Coast, Pllc | Internal Medicine | 10020 Research Forest Dr Ste D, Magnolia, TX 77354-6780 | 2020-09-11 |
| Find all providers in MAGNOLIA | ||||
| 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 |
|---|---|---|---|---|
| 1386269157 | Abigail Hughes | Specialist/Technologist | 7944 Cleveland Avenue Se, Magnolia, OH 44643-4464 | 2020-06-08 |
| 1801429618 | Rachel A Adamski | Specialist/Technologist | 420 Gloucester Ave, Magnolia, NJ 08049-1023 | 2020-02-20 |
| 1225510266 | Douglas Palmer | Specialist/Technologist | 100 E University St, Magnolia, AR 71753 | 2018-09-06 |
| 1568940781 | Alyssa Scholl | Specialist/Technologist | Msc 8800, Magnolia, AR 71753 | 2018-07-31 |
| 1982190476 | Jessica Lynne Bates | Specialist/Technologist | 42202 Fm 1774 Rd, Magnolia, TX 77354-4204 | 2018-07-08 |
| 1215479050 | Marcus Bradley Wyatt | Specialist/Technologist | 100 E University # 8800, Magnolia, AR 71753-2181 | 2016-11-10 |
| 1881141950 | Yuichi Takizawa | Specialist/Technologist | 2212 Lacari Dr., Fox Creek Apt #a1, Magnolia, AR 71753 | 2016-09-07 |
| 1609322981 | Stephen Baldwin Jr. | Specialist/Technologist | 100 E University Msc 9202, Magnolia, AR 71753 | 2016-08-28 |
| 1568855245 | Danielle Keyes | Specialist/Technologist | 14350 Fm 1488 Rd, Magnolia, TX 77354-1665 | 2015-03-05 |
| 1932591120 | Tyler Jordan Phillips | Specialist/Technologist | 100 E University # 9522, Magnolia, AR 71753-2181 | 2015-02-24 |
| Find all providers in MAGNOLIA | ||||
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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.