MANDY R REDMOND (NPI# 1619007903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619007903 |
| Entity Type | Individual |
| Full Name | MANDY R REDMOND |
| Credential | A.T |
| Practice Address |
1407 E Homedale Rd Caldwell ID 83607-1848 |
| Mailing Address |
1572 Island View Ct Payette ID 83661-2000 |
| Practice Telephone | 2084599253 |
| Mailing Telephone | 2086421330 |
| Enumeration Date | 2007-03-06 |
| 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 |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1407 E HOMEDALE RD |
| City | CALDWELL |
| State | ID |
| Zip Code | 83607-1848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326263179 | Kira Ann Skroh | Specialist/Technologist | 1407 E Homedale Rd, Caldwell, ID 83607-1848 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609106012 | Cordell Denton Nebeker | Dentist | 4111 Clocktower Ave., Caldwell, ID 83607 | 2010-01-07 |
| 1265677587 | Cory Shane Lindstrom | Chiropractor | 5216 E. Cleveland Blvd, Ste G, Caldwell, ID 83607 | 2008-12-16 |
| 1154533727 | Reality Based Services | Case Management | 24151 El Paso Rd, Caldwell, ID 83607 | 2007-05-04 |
| 1407998271 | Patrick L Waite | Dentist | 4101 Clock Tower Ave, Caldwell, ID 83607 | 2007-02-12 |
| 1104276377 | Jae's Transportaion LLC | Non-emergency Medical Transport (VAN) | 14310 Tara St, Caldwell, ID 83607-1431 | 2016-06-17 |
| 1417224460 | Rebecca Anne Tormey | Physical Therapist | 1202 Talon Ct, Caldwell, ID 83607-1579 | 2011-11-18 |
| 1174677603 | Vallivue School District #139 | Local Education Agency (LEA) | 5207 S Montana Ave, Caldwell, ID 83607-1583 | 2007-01-22 |
| 1679026447 | Kimberly Drewrey, Aprn, Np-c | Point of Service | 5210 Cleveland Blvd, Suite 140 #344, Caldwell, ID 83607-1796 | 2016-07-28 |
| 1891318622 | Casey Jay Milburn | Behavior Technician | 1109 Flint Dr, Caldwell, ID 83607-1859 | 2020-05-27 |
| 1538711940 | Rebecca Larsen | Behavior Technician | 908 Graycliff Dr, Caldwell, ID 83607-1882 | 2019-07-15 |
| Find all providers in zip 83607 | ||||
| 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 |
|---|---|---|---|---|
| 1285162354 | Ali Lee | Specialist/Technologist | 1249 S Anson Rd, Caldwell, KS 67022-8337 | 2017-06-01 |
| 1518097526 | Eric Ray Burfeind | Specialist/Technologist | 3401 S Indiana Ave, Caldwell, ID 83605-6464 | 2007-03-07 |
| 1588206650 | Claire M'lynn Young | Specialist/Technologist | 309 E Logan St, Caldwell, ID 83605-4863 | 2019-10-10 |
| 1740614437 | Jamie Lynn Jolliffe | Specialist/Technologist | 2112 Cleveland Blvd, Athletics, Caldwell, ID 83605-4432 | 2013-08-29 |
| 1326263179 | Kira Ann Skroh | Specialist/Technologist | 1407 E Homedale Rd, Caldwell, ID 83607-1848 | 2007-04-16 |
| 1730217225 | Linda I Gibbens | Specialist/Technologist | 2112 Cleveland Blvd, Caldwell, ID 83605-4432 | 2007-02-28 |
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| 1174149389 | Santiago A Segura Barron | Specialist/Technologist | Holt Arena 550 Memorial Drive Building 50, Pocatello, ID 83209-0001 | 2020-06-23 |
| 1942824545 | Maya S Gough | Specialist/Technologist | 10284 W Virginia City St, Star, ID 83669-5619 | 2020-05-31 |
| 1013531680 | Dalton Tanner Pitts | Specialist/Technologist | 1433 W A St, Moscow, ID 83843-3274 | 2020-05-29 |
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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.