JONATHAN EDWARDS (NPI# 1639779309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639779309 |
| Entity Type | Individual |
| Full Name | JONATHAN EDWARDS |
| Credential | ATC |
| Practice Address |
39 Monty St Plattsburgh NY 12901-3702 |
| Practice Telephone | 5185784158 |
| Mailing Telephone | 5185784158 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477953578 | Jonathan Edwards | Pathology | Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 | 2014-08-26 |
| 1720097298 | Jonathan D Edwards | Family Medicine | 1334 S Palestine St, Athens, TX 75751-3621 | 2006-08-05 |
| 1043284458 | Jonathan Edwards | Internal Medicine | 2685 Metropolitan Pkwy Sw Ste G, Atlanta, GA 30315-7926 | 2006-02-14 |
| 1871030668 | Jonathan Edwards | Counselor | 2214 N Atherton St, Suite 4, State College, PA 16803-1544 | 2017-01-31 |
| 1164820312 | Jonathan Edwards | Nurse Practitioner | 1405 E 12th St, Suite 600, Mendota, IL 61342-9010 | 2014-12-19 |
| 1861830697 | Jonathan Edwards | Social Worker | 5331 Plymouth Rd, Ann Arbor, MI 48105-9520 | 2013-06-14 |
| 1518209436 | Jonathan Joseph Edwards | Pediatrics | 3401 Civic Center Blvd, Division of Cardiology, Philadelphia, PA 19104-4319 | 2013-03-18 |
| 1497040497 | Jonathan Edwards | Dentist | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2011-06-17 |
| 1265767073 | Jonathan Lloyd Edwards | Counselor | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2009-10-13 |
| 1619066586 | Jonathan Charles Edwards | Psychiatry & Neurology | 171 Ashley Ave, Charleston, SC 29425-0322 | 2006-10-11 |
| Street Address |
39 MONTY ST |
| City | PLATTSBURGH |
| State | NY |
| Zip Code | 12901-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284721 | Get Movin Inc | Non-emergency Medical Transport (VAN) | 316 Cornelia St, 21a, Plattsburgh, NY 12901 | 2018-11-26 |
| 1528536141 | Inmaculada Ibanez-casas | Technician | Sibley Hall, 113 Rugar Street, Plattsburgh, NY 12901 | 2018-11-13 |
| 1760950372 | Martha R Wasserbauer | Dietetic Technician, Registered | Mountain View Pediatrics, 18 Feathers Drive, Plattsburgh, NY 12901 | 2018-11-13 |
| 1568958411 | Joel Cherian | Student in an Organized Health Care Education/Training Program | 159 Margaret St Ste 100, Plattsburgh, NY 12901 | 2018-07-03 |
| 1396284477 | Florence Reynaud | Acupuncturist | 135 S. Peru Street, Adirondack Integrative Wellness Center, Plattsburgh, NY 12901 | 2017-02-22 |
| 1124565783 | Mytchel Hector | Registered Nurse | 43 Hamilton Street Apt #202, Plattsburgh, NY 12901 | 2017-01-20 |
| 1780136697 | Michael Bruso | Psychologist | 5436 Peru St. Apt. 5, Plattsburgh, NY 12901 | 2016-10-26 |
| 1902357536 | Ashley Patricia Cota | Nurse Practitioner | 214 Cornelia St., Plattsburgh, NY 12901 | 2016-10-19 |
| 1255703310 | Kenneth Wayne Ackley | Licensed Practical Nurse | 16 Ampersand Drive, Plattsbugh, NY 12901 | 2015-10-28 |
| 1275949448 | Shanni Lee Hicks | Specialist | 63 Arnold Rd, Plattsburgh, NY 12901 | 2014-07-08 |
| Find all providers in zip 12901 | ||||
| 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 |
|---|---|---|---|---|
| 1013558071 | Maria Shavalier | Specialist/Technologist | 17 Facteau Ave, Plattsburgh, NY 12901-6420 | 2019-10-01 |
| 1235775768 | Lisa Ann Vicencio | Specialist/Technologist | 101 Broad St, Plattsburgh, NY 12901-2637 | 2019-11-19 |
| 1669911517 | Kenta Miyazaki | Specialist/Technologist | 101 Broad Street, Suny Plattsburgh, Plattsburgh, NY 12901 | 2017-02-13 |
| 1932424207 | Jason A. Pachter | Specialist/Technologist | 101 Broad St, Plattsburgh, NY 12901-2637 | 2010-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830207 | Skyler Lauren Cirillo | Specialist/Technologist | 1000 Hempstead Turnpike, Hempstead, NY 11549-0001 | 2020-10-29 |
| 1790384410 | Gina Siracusano | Specialist/Technologist | 630 Mastic Rd Ste 4, Mastic Beach, NY 11951-1020 | 2020-10-23 |
| 1134728504 | Corinne Edwards | Specialist/Technologist | 3606 Nutt Rd, Jamestown, NY 14701-9432 | 2020-10-18 |
| 1720687163 | Theresa A Trump | Specialist/Technologist | 7 Mapleline Rd, Ballston Lake, NY 12019-1589 | 2020-10-17 |
| 1235738667 | Erica Michalski | Specialist/Technologist | 157 Hillpine Rd, Cheektowaga, NY 14227-2261 | 2020-10-17 |
| 1396344743 | Jared Russom | Specialist/Technologist | 13 Brookview Ave., Delmar, NY 12054 | 2020-10-17 |
| 1720686231 | Leighann Buzzard | Specialist/Technologist | 277 Forbes Ave, Tonawanda, NY 14150-4705 | 2020-10-16 |
| 1861090367 | Jake Savino | Specialist/Technologist | 185 Oak Ave, Staten Island, NY 10306-4002 | 2020-10-15 |
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| 1295333870 | Olivia Sarkodie Arthur | Specialist/Technologist | 128 Forest Ave, Buffalo, NY 14213-1039 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | PLATTSBURGH |
| Zip Code | 12901 |
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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.